NAU publications by CHER
Faculty & staff publications
NAU faculty and staff have the opportunity to publish their findings and knowledge as authors. CHER has many researchers that have been cited multiple times in major publications for their great work. The Center for Health Equity Research has accumulated all faculty publications into one, easy to navigate database.
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Sabo, Samantha; de Zapien, Jill Guernsey; Teufel-Shone, Nicolette; Rosales, Cecilia HERITAGE 2014 Proceedings of the 4th International Conference on Heritage and Sustainable Development, 1 (1), Green Lines Institute for Sustainable Development, 2014, ISBN: 978-989-98013-7. @conference{Sabo2014b, title = {Entre Fronteras (Between Borders): The Power of Service-Learning in Cultural Exchange and Social Action in the United States -Mexico Borderlands}, author = {Samantha Sabo and Jill Guernsey de Zapien and Nicolette Teufel-Shone and Cecilia Rosales}, url = {https://www.researchgate.net/profile/Laura_Demeter/publication/272677297_Assessing_the_cultural_value_of_the_communist_legacy_in_Romania/links/54eb27240cf2f7aa4d5a66a2/Assessing-the-cultural-value-of-the-communist-legacy-in-Romania.pdf}, doi = {10.14575/gl/heritage2014}, isbn = {978-989-98013-7}, year = {2014}, date = {2014-01-01}, booktitle = {HERITAGE 2014 Proceedings of the 4th International Conference on Heritage and Sustainable Development}, volume = {1}, number = {1}, pages = {749-760}, publisher = {Green Lines Institute for Sustainable Development}, keywords = {}, pubstate = {published}, tppubtype = {conference} } |
Loi, Claudia Aguado X; Baldwin, Julie A; McDermott, Robert J; McMillan, Susan; Tyson, Dinorah Martinez; Yampolskaya, Svetlana; VandeWeerd, Carla Risk factors associated with increased depressive symptoms among Latinas diagnosed with breast cancer within 5 years of survivorship Journal Article Psycho-oncology, 2 (12), pp. 2779-2788, 2013. @article{Loi2013, title = {Risk factors associated with increased depressive symptoms among Latinas diagnosed with breast cancer within 5 years of survivorship}, author = {Claudia Aguado X Loi and Julie A Baldwin and Robert J McDermott and Susan McMillan and Dinorah Martinez Tyson and Svetlana Yampolskaya and Carla VandeWeerd}, url = {https://www.ncbi.nlm.nih.gov/pubmed/24000126}, doi = {10.1002/pon.3357}, year = {2013}, date = {2013-12-01}, journal = {Psycho-oncology}, volume = {2}, number = {12}, pages = {2779-2788}, abstract = {BACKGROUND: Co-occurring depression in women with cancer can complicate cancer treatment, lead to poor treatment adherence for both conditions, and decrease survival if left untreated. The purpose of this study was to explore risk factors for depression among Latina breast cancer survivors. METHODS: A closed-ended questionnaire was administered by telephone to 68 Latinas diagnosed with breast cancer within the past 5 years. Depression symptoms were measured using the Patient Health Questionaire-9 with the Endicott substitutive criteria applied. The Cognitive Appraisal Health Scale and the Brief COPE were used to measure appraisal and coping. Descriptive statistics, bivariate and multiple linear regression analyses were completed. RESULTS: Approximately 45.6% of women reported depressive symptoms. Multivariate analyses showed that a cognitive appraisal variable (decreased challenge or the potential to overcome), coping variables (increased acceptance, less positive reframing, less active coping, less use of emotional support, substance use and more self-blame), poor body image, less family and peer support to be significantly associated with an increased risk for depression. Intrapersonal variables accounted for the greatest explained variance (69%). CONCLUSIONS: This study identified several risk factors for depression. Study findings highlight the need for intervention programs to help women normalize emotions and thoughts related to cancer and its treatments, and to improve their cognitive abilities to overcome, accept, and positively reframe cancer and other difficult situations women face throughout the cancer continuum. The importance of family and peer support to improve depressive symptoms was also evident.}, keywords = {}, pubstate = {published}, tppubtype = {article} } BACKGROUND: Co-occurring depression in women with cancer can complicate cancer treatment, lead to poor treatment adherence for both conditions, and decrease survival if left untreated. The purpose of this study was to explore risk factors for depression among Latina breast cancer survivors. METHODS: A closed-ended questionnaire was administered by telephone to 68 Latinas diagnosed with breast cancer within the past 5 years. Depression symptoms were measured using the Patient Health Questionaire-9 with the Endicott substitutive criteria applied. The Cognitive Appraisal Health Scale and the Brief COPE were used to measure appraisal and coping. Descriptive statistics, bivariate and multiple linear regression analyses were completed. RESULTS: Approximately 45.6% of women reported depressive symptoms. Multivariate analyses showed that a cognitive appraisal variable (decreased challenge or the potential to overcome), coping variables (increased acceptance, less positive reframing, less active coping, less use of emotional support, substance use and more self-blame), poor body image, less family and peer support to be significantly associated with an increased risk for depression. Intrapersonal variables accounted for the greatest explained variance (69%). CONCLUSIONS: This study identified several risk factors for depression. Study findings highlight the need for intervention programs to help women normalize emotions and thoughts related to cancer and its treatments, and to improve their cognitive abilities to overcome, accept, and positively reframe cancer and other difficult situations women face throughout the cancer continuum. The importance of family and peer support to improve depressive symptoms was also evident. |
Romero‐Daza, Nancy; Baldwin, Julie A; Lescano, Celia; Williamson, Heather J; Tilley, David L; Chan, Isabella; Tewell, Mackenzie; Palacios, Wilson R Syndemic theory as a model for training and mentorship to address HIV/AIDS among Latinos in the U.S. Journal Article Annals of Anthropological Practice, 36 (2), pp. 232- 256, 2013. @article{Romero‐Daza2013, title = {Syndemic theory as a model for training and mentorship to address HIV/AIDS among Latinos in the U.S.}, author = {Nancy Romero‐Daza and Julie A Baldwin and Celia Lescano and Heather J Williamson and David L Tilley and Isabella Chan and Mackenzie Tewell and Wilson R Palacios}, url = {https://anthrosource.onlinelibrary.wiley.com/doi/abs/10.1111/napa.12002}, doi = {10.1111/napa.12002}, year = {2013}, date = {2013-11-12}, journal = {Annals of Anthropological Practice}, volume = {36}, number = {2}, pages = {232- 256}, abstract = {Syndemic Theory posits that an understanding of the HIV/AIDS pandemic can only be gained by examining the dynamic interaction of the disease with other health problems (e.g., tuberculosis, sexually transmitted infections, malnutrition, substance abuse), in the context of social and structural conditions such as poverty, unequal access to resources, violence, stigma, etc. While the theory has been extensively used to guide research, it has not been widely utilized as a training tool. This article presents a model for the use of Syndemic Theory as a framework for the training and mentorship of researchers and practitioners, particularly from underrepresented groups interested in HIV/AIDS prevention and treatment among ethnic minorities.}, keywords = {}, pubstate = {published}, tppubtype = {article} } Syndemic Theory posits that an understanding of the HIV/AIDS pandemic can only be gained by examining the dynamic interaction of the disease with other health problems (e.g., tuberculosis, sexually transmitted infections, malnutrition, substance abuse), in the context of social and structural conditions such as poverty, unequal access to resources, violence, stigma, etc. While the theory has been extensively used to guide research, it has not been widely utilized as a training tool. This article presents a model for the use of Syndemic Theory as a framework for the training and mentorship of researchers and practitioners, particularly from underrepresented groups interested in HIV/AIDS prevention and treatment among ethnic minorities. |
Green, Lee B; Rivers, Desiree A; Kumar, Nagi; Baldwin, Julie A; Rivers, Brian M; Sultan, Dawood; Jacobsen, Paul; Gordon, Leslene E; Davis, Jenna; Roetzheim, Richard Establishing the infrastructure to comprehensively address cancer disparities: a model for transdisciplinary approaches Journal Article Journal of Health Care for the Poor and Underserved, 24 (4), pp. 1614-1623, 2013. @article{Green2013, title = {Establishing the infrastructure to comprehensively address cancer disparities: a model for transdisciplinary approaches}, author = {Lee B Green and Desiree A Rivers and Nagi Kumar and Julie A Baldwin and Brian M Rivers and Dawood Sultan and Paul Jacobsen and Leslene E Gordon and Jenna Davis and Richard Roetzheim}, url = {https://www.ncbi.nlm.nih.gov/pubmed/24185157}, doi = {10.1353/hpu.2013.0186}, year = {2013}, date = {2013-11-01}, journal = {Journal of Health Care for the Poor and Underserved}, volume = {24}, number = {4}, pages = {1614-1623}, abstract = {The Center for Equal Health (CEH), a transdisciplinary Center of Excellence, was established to investigate cancer disparities comprehensively and achieve health equity through research, education, training, and community outreach. This paper discusses challenges faced by CEH, strategies employed to foster collaborations, lessons learned, and future considerations for establishing similar initiatives.}, keywords = {}, pubstate = {published}, tppubtype = {article} } The Center for Equal Health (CEH), a transdisciplinary Center of Excellence, was established to investigate cancer disparities comprehensively and achieve health equity through research, education, training, and community outreach. This paper discusses challenges faced by CEH, strategies employed to foster collaborations, lessons learned, and future considerations for establishing similar initiatives. |
Hardy, Lisa Jane; Bohan, Kyle David; Trotter, Robert Synthesizing Evidence-Based Strategies and Community-Engaged Research: A Model to Address Social Determinants of Health Journal Article Public Health Reports, 128 (S3), pp. 68-76, 2013. @article{Hardy2013, title = {Synthesizing Evidence-Based Strategies and Community-Engaged Research: A Model to Address Social Determinants of Health}, author = {Lisa Jane Hardy and Kyle David Bohan and Robert Trotter}, url = {http://journals.sagepub.com/doi/abs/10.1177/00333549131286S311}, doi = {10.1177/00333549131286S311}, year = {2013}, date = {2013-11-01}, journal = {Public Health Reports}, volume = {128}, number = {S3}, pages = {68-76}, abstract = {Addressing social determinants of health (SDH) requires multileveled intervention designs. Increasingly, organizations and coalitions face pressure to use evidence-based strategies when seeking to address SDH. Evidence-based strategies, however, must be locally relevant and integrated into existing systems to function efficiently. We propose the incorporation of an effective rapid assessment technique, Rapid Assessment, Response, and Evaluation (RARE), with evidence-based strategies, findings, and recommendations embedded in community-engaged research to increase the likelihood of success in addressing SDH. Our RARE project—a partnership among a community health center, a nonprofit funding agency, and academic faculty researchers—resulted in community- and policy-level interventions for the prevention of childhood obesity in a Southwestern U.S. city}, keywords = {}, pubstate = {published}, tppubtype = {article} } Addressing social determinants of health (SDH) requires multileveled intervention designs. Increasingly, organizations and coalitions face pressure to use evidence-based strategies when seeking to address SDH. Evidence-based strategies, however, must be locally relevant and integrated into existing systems to function efficiently. We propose the incorporation of an effective rapid assessment technique, Rapid Assessment, Response, and Evaluation (RARE), with evidence-based strategies, findings, and recommendations embedded in community-engaged research to increase the likelihood of success in addressing SDH. Our RARE project—a partnership among a community health center, a nonprofit funding agency, and academic faculty researchers—resulted in community- and policy-level interventions for the prevention of childhood obesity in a Southwestern U.S. city |
Buhi, Eric R; Klinkenberger, Natalie; McFarlane, Mary; Kachur, Rachel; Daley, Ellen M; Baldwin, Julie A; Blunt, Heather D; Hughes, Shana; Wheldon, Christopher W; Rietmeijer, Cornelis Evaluating the Internet as a sexually transmitted disease risk environment for teens: findings from the communication, health, and teens study Journal Article Sexually Transmitted Disease, 40 (7), pp. 528-233, 2013. @article{Buhi2013, title = {Evaluating the Internet as a sexually transmitted disease risk environment for teens: findings from the communication, health, and teens study}, author = {Eric R Buhi and Natalie Klinkenberger and Mary McFarlane and Rachel Kachur and Ellen M Daley and Julie A Baldwin and Heather D Blunt and Shana Hughes and Christopher W Wheldon and Cornelis Rietmeijer}, url = {https://www.ncbi.nlm.nih.gov/pubmed/23965765}, doi = {10.1097/OLQ.0b013e31829413f7}, year = {2013}, date = {2013-07-01}, journal = {Sexually Transmitted Disease}, volume = {40}, number = {7}, pages = {528-233}, abstract = {BACKGROUND: Few studies have examined the association between sexual health risks and online sex-seeking among teenagers. The purpose of this study was to assess the associations between meeting sex partners online and a range of sexual risk behaviors and outcomes among adolescents. METHODS: Participants aged 13 to 19 years were recruited from a publicly funded teen clinic in Florida. After obtaining informed consent/assent, 273 participants completed an audio computer-assisted self-interview that included questions on demographics, sexual behavior, sexually transmitted disease (STD) history, and online sex-seeking behaviors and experiences. Participants also provided urine samples for chlamydia and gonorrhea testing. Data were analyzed using logistic regression to identify the association between having an online sex partner and sexual behaviors/outcomes. RESULTS: After adjusting for significant bivariate correlates, teens reporting online sex partners were more likely to be male, be multiracial, have a history of same-sex sexual activity, report a higher number of vaginal sex partners, and report a lower age at first vaginal sex. However, teens with online sex partners were no more likely to have ever had an STD or a current biological STD. CONCLUSIONS: This study is one of the first to correlate biological STD results to online sexual partnering data in a youth population. Although meeting a sex partner online was not associated with past or current STDs, it was associated with other sexual risk behaviors. Future research is needed to examine the complex nature of online sexual partnering among adolescents and to develop intervention approaches.}, keywords = {}, pubstate = {published}, tppubtype = {article} } BACKGROUND: Few studies have examined the association between sexual health risks and online sex-seeking among teenagers. The purpose of this study was to assess the associations between meeting sex partners online and a range of sexual risk behaviors and outcomes among adolescents. METHODS: Participants aged 13 to 19 years were recruited from a publicly funded teen clinic in Florida. After obtaining informed consent/assent, 273 participants completed an audio computer-assisted self-interview that included questions on demographics, sexual behavior, sexually transmitted disease (STD) history, and online sex-seeking behaviors and experiences. Participants also provided urine samples for chlamydia and gonorrhea testing. Data were analyzed using logistic regression to identify the association between having an online sex partner and sexual behaviors/outcomes. RESULTS: After adjusting for significant bivariate correlates, teens reporting online sex partners were more likely to be male, be multiracial, have a history of same-sex sexual activity, report a higher number of vaginal sex partners, and report a lower age at first vaginal sex. However, teens with online sex partners were no more likely to have ever had an STD or a current biological STD. CONCLUSIONS: This study is one of the first to correlate biological STD results to online sexual partnering data in a youth population. Although meeting a sex partner online was not associated with past or current STDs, it was associated with other sexual risk behaviors. Future research is needed to examine the complex nature of online sexual partnering among adolescents and to develop intervention approaches. |
Sabo, Samantha; Ingram, Maia; Reinschmidt, Kerstin M; Schachter, Kenneth; Jacobs, Laurel; de Zapien, Jill Guernsey; Robinson, Laurie; Carvajal, Scott Predictors and a framework for fostering community advocacy as a community health worker core function to eliminate health disparities Journal Article American Journal of Public health, 103 (7), pp. 67-73, 2013. @article{Sabo2013, title = {Predictors and a framework for fostering community advocacy as a community health worker core function to eliminate health disparities}, author = {Samantha Sabo and Maia Ingram and Kerstin M Reinschmidt and Kenneth Schachter and Laurel Jacobs and Jill Guernsey de Zapien and Laurie Robinson and Scott Carvajal}, url = {https://www.ncbi.nlm.nih.gov/pubmed/23678904}, doi = {10.2105/AJPH.2012.301108}, year = {2013}, date = {2013-07-01}, journal = {American Journal of Public health}, volume = {103}, number = {7}, pages = {67-73}, abstract = {OBJECTIVES: Using a mixed-method, participatory research approach, we investigated factors related to community health worker (CHW) community advocacy that affect social determinants of health. METHODS: We used cross-sectional survey data for 371 CHWs to assess demographics, training, work environment, and leadership qualities on civic, political, and organizational advocacy. We present advocacy stories to further articulate CHW activities. The data reported are from the recently completed National Community Health Workers Advocacy Study. RESULTS: CHWs are involved in advocacy that is community-focused, although advocacy differs by intrinsic leadership, experience, training, and work environment. We propose a framework to conceptualize, support, and evaluate CHW advocacy and the iterative processes they engage in. These processes create opportunities for community voice and action to affect social and structural conditions that are known to have wide-ranging health effects on communities. CONCLUSIONS: The framework presented may have utility for CHWs, their training programs, and their employers as well as funders and policymakers aiming to promote health equity.}, keywords = {}, pubstate = {published}, tppubtype = {article} } OBJECTIVES: Using a mixed-method, participatory research approach, we investigated factors related to community health worker (CHW) community advocacy that affect social determinants of health. METHODS: We used cross-sectional survey data for 371 CHWs to assess demographics, training, work environment, and leadership qualities on civic, political, and organizational advocacy. We present advocacy stories to further articulate CHW activities. The data reported are from the recently completed National Community Health Workers Advocacy Study. RESULTS: CHWs are involved in advocacy that is community-focused, although advocacy differs by intrinsic leadership, experience, training, and work environment. We propose a framework to conceptualize, support, and evaluate CHW advocacy and the iterative processes they engage in. These processes create opportunities for community voice and action to affect social and structural conditions that are known to have wide-ranging health effects on communities. CONCLUSIONS: The framework presented may have utility for CHWs, their training programs, and their employers as well as funders and policymakers aiming to promote health equity. |
Gwede, Clement K; Ashley, Atalie A; McGinnis, Kara; Montiel-Ishino, Alejandro F; Standifer, Maisha; Baldwin, Julie A; Williams, Coni; Sneed, Kevin B; Wathington, Deanna; Dash-Pitts, Lolita; Green, Lee B Designing a community-based lay health advisor training curriculum to address cancer health disparities Journal Article Health Promotion Practice, 14 (3), pp. 415-424, 2013. @article{Gwede2013, title = {Designing a community-based lay health advisor training curriculum to address cancer health disparities}, author = {Clement K Gwede and Atalie A Ashley and Kara McGinnis and Alejandro F Montiel-Ishino and Maisha Standifer and Julie A Baldwin and Coni Williams and Kevin B Sneed and Deanna Wathington and Lolita Dash-Pitts and Lee B Green}, url = {https://www.ncbi.nlm.nih.gov/pubmed/22982709}, doi = {10.1177/1524839912458675}, year = {2013}, date = {2013-05-01}, journal = {Health Promotion Practice}, volume = {14}, number = {3}, pages = {415-424}, abstract = {INTRODUCTION: Racial and ethnic minorities have disproportionately higher cancer incidence and mortality than their White counterparts. In response to this inequity in cancer prevention and care, community-based lay health advisors (LHAs) may be suited to deliver effective, culturally relevant, quality cancer education, prevention/screening, and early detection services for underserved populations. APPROACH AND STRATEGIES: Consistent with key tenets of community-based participatory research (CBPR), this project engaged community partners to develop and implement a unique LHA training curriculum to address cancer health disparities among medically underserved communities in a tricounty area. Seven phases of curriculum development went into designing a final seven-module LHA curriculum. In keeping with principles of CBPR and community engagement, academic-community partners and LHAs themselves were involved at all phases to ensure the needs of academic and community partners were mutually addressed in development and implementation of the LHA program. DISCUSSION AND CONCLUSIONS: Community-based LHA programs for outreach, education, and promotion of cancer screening and early detection, are ideal for addressing cancer health disparities in access and quality care. When community-based LHAs are appropriately recruited, trained, and located in communities, they provide unique opportunities to link, bridge, and facilitate quality cancer education, services, and research.}, keywords = {}, pubstate = {published}, tppubtype = {article} } INTRODUCTION: Racial and ethnic minorities have disproportionately higher cancer incidence and mortality than their White counterparts. In response to this inequity in cancer prevention and care, community-based lay health advisors (LHAs) may be suited to deliver effective, culturally relevant, quality cancer education, prevention/screening, and early detection services for underserved populations. APPROACH AND STRATEGIES: Consistent with key tenets of community-based participatory research (CBPR), this project engaged community partners to develop and implement a unique LHA training curriculum to address cancer health disparities among medically underserved communities in a tricounty area. Seven phases of curriculum development went into designing a final seven-module LHA curriculum. In keeping with principles of CBPR and community engagement, academic-community partners and LHAs themselves were involved at all phases to ensure the needs of academic and community partners were mutually addressed in development and implementation of the LHA program. DISCUSSION AND CONCLUSIONS: Community-based LHA programs for outreach, education, and promotion of cancer screening and early detection, are ideal for addressing cancer health disparities in access and quality care. When community-based LHAs are appropriately recruited, trained, and located in communities, they provide unique opportunities to link, bridge, and facilitate quality cancer education, services, and research. |
Carvajal, Scott C; Rosales, Cecilia; Rubio-Goldsmith, Raquel; Sabo, Samantha; Ingram, Maia; McClelland, Debra Jean; Torres, Floribella Redondoand Emma; Romero, Andrea J; O’Leary, Anna Ochoa; Sanchez, Zoila; de Zapien, Jill Guernsey The border community and immigration stress scale: a preliminary examination of a community responsive measure in two Southwest samples Journal Article Journal of Immigrant and Minority Health, 15 (2), pp. 437-436, 2013. @article{Carvajal2013, title = {The border community and immigration stress scale: a preliminary examination of a community responsive measure in two Southwest samples}, author = {Scott C Carvajal and Cecilia Rosales and Raquel Rubio-Goldsmith and Samantha Sabo and Maia Ingram and Debra Jean McClelland and Floribella Redondoand Emma Torres and Andrea J Romero and Anna Ochoa O’Leary and Zoila Sanchez and Jill Guernsey de Zapien}, url = {https://www.ncbi.nlm.nih.gov/pubmed/22430894}, doi = {10.1007/s10903-012-9600-z}, year = {2013}, date = {2013-04-01}, journal = {Journal of Immigrant and Minority Health}, volume = {15}, number = {2}, pages = {437-436}, abstract = {Understanding contemporary socio-cultural stressors may assist educational, clinical and policy-level health promotion efforts. This study presents descriptive findings on a new measure, the border community and immigration stress scale. The data were from two community surveys as part of community based participatory projects conducted in the Southwestern US border region. This scale includes stressful experiences reflected in extant measures, with new items reflecting heightened local migration pressures and health care barriers. Stressors representing each main domain, including novel ones, were reported with frequency and at high intensity in the predominantly Mexican-descent samples. Total stress was also significantly associated with mental and physical health indicators. The study suggests particularly high health burdens tied to the experience of stressors in the US border region. Further, many of the stressors are also likely relevant for other communities within developed nations also experiencing high levels of migration.}, keywords = {}, pubstate = {published}, tppubtype = {article} } Understanding contemporary socio-cultural stressors may assist educational, clinical and policy-level health promotion efforts. This study presents descriptive findings on a new measure, the border community and immigration stress scale. The data were from two community surveys as part of community based participatory projects conducted in the Southwestern US border region. This scale includes stressful experiences reflected in extant measures, with new items reflecting heightened local migration pressures and health care barriers. Stressors representing each main domain, including novel ones, were reported with frequency and at high intensity in the predominantly Mexican-descent samples. Total stress was also significantly associated with mental and physical health indicators. The study suggests particularly high health burdens tied to the experience of stressors in the US border region. Further, many of the stressors are also likely relevant for other communities within developed nations also experiencing high levels of migration. |
Marhefka, Stephanie L; Iziduh, Sharon; Fuhrmann, Hollie J; Lopez, Bernice; Glueckauf, Robert; Lynn, Vickie; Baldwin, Julie A AIDS Care, 25 (7), pp. 904-909, 2013. @article{Marhefka2013, title = {Internet-based video-group delivery of Healthy Relationships--a "prevention with positives" intervention: report on a single group pilot test among women living with HIV}, author = {Stephanie L Marhefka and Sharon Iziduh and Hollie J Fuhrmann and Bernice Lopez and Robert Glueckauf and Vickie Lynn and Julie A Baldwin}, url = {https://www.ncbi.nlm.nih.gov/pubmed/23713756}, doi = {10.1080/09540121.2013.793266}, year = {2013}, date = {2013-01-01}, journal = {AIDS Care}, volume = {25}, number = {7}, pages = {904-909}, abstract = {Women living with HIV (WLH) face challenges related to stigma, disclosure of HIV status, and negotiating safer sex. Several effective behavioral interventions, such as Healthy Relationships (HR), help WLH address these challenges and are disseminated by the USA Centers for Disease Control and Prevention's (CDC) Diffusion of Effective Behavioral Interventions project. However, many WLH living in poor urban or rural locations cannot access interventions such as HR because implementation is not feasible. Video-conferencing technology holds promise for expanding access to effective behavioral interventions for WLH. Following a systematic adaptation to the video-conferencing format, this pilot study tested the delivery of HR via video-group (VG) among WLH. The video-conferencing-based intervention, HR-VG, consisted of six, two-hour sessions led by two facilitators, and used structured activities and video-clips to build disclosure and safer sex skills. Four minority WLH received HR-VG at four different community-based intervention sites in a private room equipped with a video-phone for participating in HR-VG and a desktop computer for completing assessments via Audio Computer-Assisted Self Interview. Participants completed a baseline assessment prior to HR-VG and post-session assessment after each HR-VG session. The post-intervention assessment and video-focus group were completed following the last HR-VG session. Facilitators completed an assessment after each HR-VG session and an open-ended questionnaire following HR-VG. HR-VG was implemented in its entirety with minimal challenges. Both participants and facilitators reported feeling either "very comfortable" or "completely comfortable" with the technology and the overall intervention. Participants also reported high levels of unity and togetherness among the group. These preliminary findings suggest VG delivery of HR for WLH is both feasible and highly valued by participants. A follow-up randomized controlled trial is under way to test the feasibility and efficacy of HR-VG with a larger sample of WLH.}, keywords = {}, pubstate = {published}, tppubtype = {article} } Women living with HIV (WLH) face challenges related to stigma, disclosure of HIV status, and negotiating safer sex. Several effective behavioral interventions, such as Healthy Relationships (HR), help WLH address these challenges and are disseminated by the USA Centers for Disease Control and Prevention's (CDC) Diffusion of Effective Behavioral Interventions project. However, many WLH living in poor urban or rural locations cannot access interventions such as HR because implementation is not feasible. Video-conferencing technology holds promise for expanding access to effective behavioral interventions for WLH. Following a systematic adaptation to the video-conferencing format, this pilot study tested the delivery of HR via video-group (VG) among WLH. The video-conferencing-based intervention, HR-VG, consisted of six, two-hour sessions led by two facilitators, and used structured activities and video-clips to build disclosure and safer sex skills. Four minority WLH received HR-VG at four different community-based intervention sites in a private room equipped with a video-phone for participating in HR-VG and a desktop computer for completing assessments via Audio Computer-Assisted Self Interview. Participants completed a baseline assessment prior to HR-VG and post-session assessment after each HR-VG session. The post-intervention assessment and video-focus group were completed following the last HR-VG session. Facilitators completed an assessment after each HR-VG session and an open-ended questionnaire following HR-VG. HR-VG was implemented in its entirety with minimal challenges. Both participants and facilitators reported feeling either "very comfortable" or "completely comfortable" with the technology and the overall intervention. Participants also reported high levels of unity and togetherness among the group. These preliminary findings suggest VG delivery of HR for WLH is both feasible and highly valued by participants. A follow-up randomized controlled trial is under way to test the feasibility and efficacy of HR-VG with a larger sample of WLH. |
Gallegos, Patricia A; Velez, Maria Ortega I; Rosales, Cecilia; de Zapien, Jill; Sabo, Samantha; Zapien, Antonio Migracion y atención a la salud de los Jornalero agricolas Book Chapter In Alternativas en la crisis para la transformación de las políticas sociales en México,, Chapter 7, El Colegio de Sonora, CIAD, Fundación Konrad Adenauer, 2013, ISBN: 978-607-7900-11-5. @inbook{Gallegos2013, title = {Migracion y atención a la salud de los Jornalero agricolas}, author = {Patricia A Gallegos and Maria Ortega I Velez and Cecilia Rosales and Jill de Zapien and Samantha Sabo and Antonio Zapien}, url = {http://alamo.colson.edu.mx:8085/sitios/CESS/091020_frutosTrabajo/frutos_archivos/ArandaOrtega2013_Migracion%20y%20atencion.pdf}, isbn = {978-607-7900-11-5}, year = {2013}, date = {2013-01-01}, booktitle = {In Alternativas en la crisis para la transformación de las políticas sociales en México,}, publisher = {El Colegio de Sonora, CIAD, Fundación Konrad Adenauer}, chapter = {7}, keywords = {}, pubstate = {published}, tppubtype = {inbook} } |
Trotter, Robert Qualitative research sample design and sample size: Resolving and unresolved issues and inferential imperatives Journal Article Preventive Medicine, 55 (5), pp. 398-400, 2012. @article{Trotter2012, title = {Qualitative research sample design and sample size: Resolving and unresolved issues and inferential imperatives}, author = {Robert Trotter}, url = {http://www.sciencedirect.com/science/article/pii/S0091743512003131}, doi = {10.1016/j.ypmed.2012.07.003}, year = {2012}, date = {2012-11-30}, journal = {Preventive Medicine}, volume = {55}, number = {5}, pages = {398-400}, abstract = {Originally there was a wide gap between quantitative and qualitative research design and methodological discussions. Researchers can follow the original qual/quant debate by reviewing the methods and project design discussions from about 1990 to 2000 representing the epistemological and inferential imperatives of both camps (Johnson, 1990). However, qualitative research methodologies have evolved extensively in the recent past, producing scientifically defensible theory, sampling strategies, and analytical strategies. Today the qual/quant gap has narrowed to the point that there can be a seamless transition between qualitative and quantitative research designs, or, even more importantly, integrated mixed methods research designs that incorporate the strengths of both approaches and simultaneously reduce the limitations of each approach (Bernard, 2011; Creswell, 2009).}, keywords = {}, pubstate = {published}, tppubtype = {article} } Originally there was a wide gap between quantitative and qualitative research design and methodological discussions. Researchers can follow the original qual/quant debate by reviewing the methods and project design discussions from about 1990 to 2000 representing the epistemological and inferential imperatives of both camps (Johnson, 1990). However, qualitative research methodologies have evolved extensively in the recent past, producing scientifically defensible theory, sampling strategies, and analytical strategies. Today the qual/quant gap has narrowed to the point that there can be a seamless transition between qualitative and quantitative research designs, or, even more importantly, integrated mixed methods research designs that incorporate the strengths of both approaches and simultaneously reduce the limitations of each approach (Bernard, 2011; Creswell, 2009). |
Schafer, Lisa M; Hsu, Clarissa; Eaves, Emery R; Ritenbaugh, Cheryl; Turner, Judith; Cherkin, Daniel C; Sims, Colette; Sherman, Karen J BMC Complementary and Alternative Medicine, 12 (1), pp. 24, 2012. @article{Schafer2012, title = {Complementary and alternative medicine (CAM) providers' views of chronic low back pain patients' expectations of CAM therapies: a qualitative study}, author = {Lisa M Schafer and Clarissa Hsu and Emery R Eaves and Cheryl Ritenbaugh and Judith Turner and Daniel C Cherkin and Colette Sims and Karen J Sherman}, url = {https://www.ncbi.nlm.nih.gov/pubmed/23186539}, doi = {10.1186/1472-6882-12-234}, year = {2012}, date = {2012-11-01}, journal = {BMC Complementary and Alternative Medicine}, volume = {12}, number = {1}, pages = {24}, abstract = {BACKGROUND: Some researchers think that patients with higher expectations for CAM therapies experience better outcomes and that enthusiastic providers can enhance treatment outcomes. This is in contrast to evidence suggesting conventional medical providers often reorient patient expectations to better match what providers believe to be realistic. However, there is a paucity of research on CAM providers' views of their patients' expectations regarding CAM therapy and the role of these expectations in patient outcomes. METHODS: To better understand how CAM providers view and respond to their patients' expectations of a particular therapy, we conducted 32 semi-structured, qualitative interviews with acupuncturists, chiropractors, massage therapists and yoga instructors identified through convenience sampling. Interviews were recorded, transcribed and analyzed thematically using Atlas ti version 6.1. RESULTS: CAM providers reported that they attempt to ensure that their patients' expectations are realistic. Providers indicated they manage their patients' expectations in a number of domains- roles and responsibilities of providers and patients, treatment outcomes, timeframe for improvement, and treatment experience. Providers reported that patients' expectations change over time and that they need to continually manage these expectations to enhance patient engagement and satisfaction with treatment. CONCLUSIONS: Providers of four types of CAM therapies viewed patients' expectations as an important component of their experiences with CAM therapy and indicated that they try to align patient expectations with reality. These findings suggest that CAM providers are similar in this respect to conventional medical providers.}, keywords = {}, pubstate = {published}, tppubtype = {article} } BACKGROUND: Some researchers think that patients with higher expectations for CAM therapies experience better outcomes and that enthusiastic providers can enhance treatment outcomes. This is in contrast to evidence suggesting conventional medical providers often reorient patient expectations to better match what providers believe to be realistic. However, there is a paucity of research on CAM providers' views of their patients' expectations regarding CAM therapy and the role of these expectations in patient outcomes. METHODS: To better understand how CAM providers view and respond to their patients' expectations of a particular therapy, we conducted 32 semi-structured, qualitative interviews with acupuncturists, chiropractors, massage therapists and yoga instructors identified through convenience sampling. Interviews were recorded, transcribed and analyzed thematically using Atlas ti version 6.1. RESULTS: CAM providers reported that they attempt to ensure that their patients' expectations are realistic. Providers indicated they manage their patients' expectations in a number of domains- roles and responsibilities of providers and patients, treatment outcomes, timeframe for improvement, and treatment experience. Providers reported that patients' expectations change over time and that they need to continually manage these expectations to enhance patient engagement and satisfaction with treatment. CONCLUSIONS: Providers of four types of CAM therapies viewed patients' expectations as an important component of their experiences with CAM therapy and indicated that they try to align patient expectations with reality. These findings suggest that CAM providers are similar in this respect to conventional medical providers. |
Richman, Alice R; Daley, Ellen M; Baldwin, Julie A; Kromrey, Jeff; O'Rourke, Kathleen; Perrin, Kay Contraception, 86 (4), pp. 370-375, 2012. @article{Richman2012, title = {The role of pharmacists and emergency contraception: Are pharmacists' perceptions of emergency contraception predictive of their dispensing practices?}, author = {Alice R Richman and Ellen M Daley and Julie A Baldwin and Jeff Kromrey and Kathleen O'Rourke and Kay Perrin}, url = {https://www.ncbi.nlm.nih.gov/pubmed/22386228}, doi = {10.1016/j.contraception.2012.01.014}, year = {2012}, date = {2012-10-01}, journal = {Contraception}, volume = {86}, number = {4}, pages = {370-375}, abstract = {BACKGROUND: Pharmacists can play a critical role in the access to emergency contraception (EC). We assessed if knowledge and attitudes were predictive of EC dispensing among a statewide sample of Florida pharmacists, who have legal authority to refuse to dispense medications. STUDY DESIGN: In 2008, surveys were mailed to a random sample of 1264 pharmacists registered with the Florida Board of Pharmacy. Data from 272 pharmacists (22% response rate) were analyzed using bivariate and multivariate logistic regression. RESULTS: Fifty-six percent of respondents incorrectly answered that EC causes birth defects, and 46% replied that it causes abortion. Only 22% said that EC can be purchased in advance of need. Many felt uncomfortable dispensing to adolescents (61%) and men (58%). Knowledge about EC was the most important predictor of dispensing [odds ratio (OR)=1.57, 95% confidence interval (CI) 1.22-2.03]. In particular, pharmacists who reported that EC does not act as an abortifacient were more likely to dispense it (OR=4.64, 95% CI 2.15-10.00). CONCLUSIONS: Correct information about EC was the most important predictor of pharmacists' dispensing EC. To expand availability of EC, pharmacists will have to become better informed.}, keywords = {}, pubstate = {published}, tppubtype = {article} } BACKGROUND: Pharmacists can play a critical role in the access to emergency contraception (EC). We assessed if knowledge and attitudes were predictive of EC dispensing among a statewide sample of Florida pharmacists, who have legal authority to refuse to dispense medications. STUDY DESIGN: In 2008, surveys were mailed to a random sample of 1264 pharmacists registered with the Florida Board of Pharmacy. Data from 272 pharmacists (22% response rate) were analyzed using bivariate and multivariate logistic regression. RESULTS: Fifty-six percent of respondents incorrectly answered that EC causes birth defects, and 46% replied that it causes abortion. Only 22% said that EC can be purchased in advance of need. Many felt uncomfortable dispensing to adolescents (61%) and men (58%). Knowledge about EC was the most important predictor of dispensing [odds ratio (OR)=1.57, 95% confidence interval (CI) 1.22-2.03]. In particular, pharmacists who reported that EC does not act as an abortifacient were more likely to dispense it (OR=4.64, 95% CI 2.15-10.00). CONCLUSIONS: Correct information about EC was the most important predictor of pharmacists' dispensing EC. To expand availability of EC, pharmacists will have to become better informed. |
Marhefka, Stephanie L; Fuhrmann, Hollie J; Gilliam, Patricia; Lopez, Bernice; Baldwin, Julie A AIDS and Behavior, 16 (7), pp. 1961-1969, 2012. @article{Marhefka2012, title = {Interest in, concerns about, and preferences for potential video-group delivery of an effective behavioral intervention among women living with HIV}, author = {Stephanie L Marhefka and Hollie J Fuhrmann and Patricia Gilliam and Bernice Lopez and Julie A Baldwin}, url = {https://www.ncbi.nlm.nih.gov/pubmed/21947780}, doi = {10.1007/s10461-011-0040-x}, year = {2012}, date = {2012-10-01}, journal = {AIDS and Behavior}, volume = {16}, number = {7}, pages = {1961-1969}, abstract = {Novel strategies are needed to expand access to effective behavioral interventions for HIV prevention. Delivering effective group-based interventions to people living with HIV using video-conferencing technology is an innovative approach that may address this need, but has not been explored. Twenty-seven women living with HIV (WLH) who had just completed Healthy Relationships, a group-based behavioral program for WLH, participated in focus groups to share their thoughts about potentially participating in Healthy Relationships via a video-conferencing group. Overall, WLH supported the idea of video-group delivery of the program. They had numerous questions about logistics, expressed concerns about safety and confidentiality, and indicated a preference for accessing video-groups via special video-phones versus computers. Findings warrant further research into the feasibility, acceptability, and effectiveness of video-group delivery of HIV prevention interventions and suggest important considerations for researchers and practitioners who may employ video-conferencing for intervention delivery.}, keywords = {}, pubstate = {published}, tppubtype = {article} } Novel strategies are needed to expand access to effective behavioral interventions for HIV prevention. Delivering effective group-based interventions to people living with HIV using video-conferencing technology is an innovative approach that may address this need, but has not been explored. Twenty-seven women living with HIV (WLH) who had just completed Healthy Relationships, a group-based behavioral program for WLH, participated in focus groups to share their thoughts about potentially participating in Healthy Relationships via a video-conferencing group. Overall, WLH supported the idea of video-group delivery of the program. They had numerous questions about logistics, expressed concerns about safety and confidentiality, and indicated a preference for accessing video-groups via special video-phones versus computers. Findings warrant further research into the feasibility, acceptability, and effectiveness of video-group delivery of HIV prevention interventions and suggest important considerations for researchers and practitioners who may employ video-conferencing for intervention delivery. |
Trudnak, Tara; Melton, Stephanie T; Simpson, Lisa; Baldwin, Julie A The childhood obesity response in Florida: where do we stand? Journal Article Childhood Obesity, 8 (3), pp. 237-242, 2012. @article{Trudnak2012, title = {The childhood obesity response in Florida: where do we stand?}, author = {Tara Trudnak and Stephanie T Melton and Lisa Simpson and Julie A Baldwin}, url = {https://www.ncbi.nlm.nih.gov/pubmed/22799550}, doi = {10.1089/chi.2011.0069}, year = {2012}, date = {2012-06-01}, journal = {Childhood Obesity}, volume = {8}, number = {3}, pages = {237-242}, abstract = {BACKGROUND: Childhood obesity is a major public health problem that is the focus of many child health programs and policies throughout the nation. Florida in particular has high rates of childhood obesity and inconsistent policies to address the issue. This paper examines the scope and challenge of addressing the childhood obesity epidemic in Florida from the perspective of childhood obesity stakeholders. METHODS: As part of a larger assessment of the health of Florida's children for the Florida Child Health and Healthcare Quality Chartbook, the authors conducted focus groups and interviews with stakeholders from private and public organizations. The stakeholders represented healthcare providers, state and local agencies, and community-based programs that address nutrition and physical activity education, access to healthcare, health screenings, and environmental and policy change related to preventing childhood obesity. RESULTS: Stakeholders identified best practices, challenges, barriers, and priorities for addressing childhood obesity. Multilevel approaches, emphasizing the family were identified as best practices, along with the need for environmental policy change. Funding and a need for data were identified as the biggest challenges, while overcoming barriers such as myths and misinformation and developing a unified obesity message were identified as motivators. CONCLUSIONS: The major findings indicate that, although positive progress is being made in specific communities, a coordinated and comprehensive response is needed. To create policy and normative change, a statewide, multilevel framework is needed with a unifying message to better target policymakers. The framework should include targeted efforts at all levels that include education, promotion and environmental policy change.}, keywords = {}, pubstate = {published}, tppubtype = {article} } BACKGROUND: Childhood obesity is a major public health problem that is the focus of many child health programs and policies throughout the nation. Florida in particular has high rates of childhood obesity and inconsistent policies to address the issue. This paper examines the scope and challenge of addressing the childhood obesity epidemic in Florida from the perspective of childhood obesity stakeholders. METHODS: As part of a larger assessment of the health of Florida's children for the Florida Child Health and Healthcare Quality Chartbook, the authors conducted focus groups and interviews with stakeholders from private and public organizations. The stakeholders represented healthcare providers, state and local agencies, and community-based programs that address nutrition and physical activity education, access to healthcare, health screenings, and environmental and policy change related to preventing childhood obesity. RESULTS: Stakeholders identified best practices, challenges, barriers, and priorities for addressing childhood obesity. Multilevel approaches, emphasizing the family were identified as best practices, along with the need for environmental policy change. Funding and a need for data were identified as the biggest challenges, while overcoming barriers such as myths and misinformation and developing a unified obesity message were identified as motivators. CONCLUSIONS: The major findings indicate that, although positive progress is being made in specific communities, a coordinated and comprehensive response is needed. To create policy and normative change, a statewide, multilevel framework is needed with a unifying message to better target policymakers. The framework should include targeted efforts at all levels that include education, promotion and environmental policy change. |
Ingram, Maia; Reinschmidt, Kerstin M; Schachter, Ken A; Davidson, Chris L; Sabo, Samantha; Zapien, Jill Guernsey De; Carvajal, Scott C Establishing a professional profile of community health workers: results from a national study of roles, activities and training Journal Article Journal of Community Health, 37 (2), pp. 529-537, 2012. @article{Ingram2012, title = {Establishing a professional profile of community health workers: results from a national study of roles, activities and training}, author = {Maia Ingram and Kerstin M Reinschmidt and Ken A Schachter and Chris L Davidson and Samantha Sabo and Jill Guernsey De Zapien and Scott C Carvajal}, url = {https://www.ncbi.nlm.nih.gov/pubmed/21964912}, doi = {10.1007/s10900-011-9475-2}, year = {2012}, date = {2012-04-01}, journal = {Journal of Community Health}, volume = {37}, number = {2}, pages = {529-537}, abstract = {Community Health Workers (CHWs) have gained national recognition for their role in addressing health disparities and are increasingly integrated into the health care delivery system. There is a lack of consensus, however, regarding empirical evidence on the impact of CHW interventions on health outcomes. In this paper, we present results from the 2010 National Community Health Worker Advocacy Survey (NCHWAS) in an effort to strengthen a generalized understanding of the CHW profession that can be integrated into ongoing efforts to improve the health care delivery system. Results indicate that regardless of geographical location, work setting, and demographic characteristics, CHWs generally share similar professional characteristics, training preparation, and job activities. CHWs are likely to be female, representative of the community they serve, and to work in community health centers, clinics, community-based organizations, and health departments. The most common type of training is on-the-job and conference training. Most CHWs work with clients, groups, other CHWs and less frequently community leaders to address health issues, the most common of which are chronic disease, prevention and health care access. Descriptions of CHW activities documented in the survey demonstrate that CHWs apply core competencies in a synergistic manner in an effort to assure that their clients get the services they need. NCHWAS findings suggest that over the past 50 years, the CHW field has become standardized in response to the unmet needs of their communities. In research and practice, the field would benefit from being considered a health profession rather than an intervention.}, keywords = {}, pubstate = {published}, tppubtype = {article} } Community Health Workers (CHWs) have gained national recognition for their role in addressing health disparities and are increasingly integrated into the health care delivery system. There is a lack of consensus, however, regarding empirical evidence on the impact of CHW interventions on health outcomes. In this paper, we present results from the 2010 National Community Health Worker Advocacy Survey (NCHWAS) in an effort to strengthen a generalized understanding of the CHW profession that can be integrated into ongoing efforts to improve the health care delivery system. Results indicate that regardless of geographical location, work setting, and demographic characteristics, CHWs generally share similar professional characteristics, training preparation, and job activities. CHWs are likely to be female, representative of the community they serve, and to work in community health centers, clinics, community-based organizations, and health departments. The most common type of training is on-the-job and conference training. Most CHWs work with clients, groups, other CHWs and less frequently community leaders to address health issues, the most common of which are chronic disease, prevention and health care access. Descriptions of CHW activities documented in the survey demonstrate that CHWs apply core competencies in a synergistic manner in an effort to assure that their clients get the services they need. NCHWAS findings suggest that over the past 50 years, the CHW field has become standardized in response to the unmet needs of their communities. In research and practice, the field would benefit from being considered a health profession rather than an intervention. |
Brown, Betty G; Baldwin, Julie A; Walsh, Margaret L Health disparities among under-served populations: Implications for research, policy and praxis, pp. 3-47, Emerald Group Publishing Limited, 2012. @inbook{Brown2012, title = {Putting Tribal Nations First: Historical Trends, Current Needs, and Future Directions in Substance Use Prevention for American Indian and Alaska Native Youths}, author = {Betty G Brown and Julie A Baldwin and Margaret L Walsh}, url = {http://www.emeraldinsight.com/doi/pdfplus/10.1108/S1479-358X%282012%290000009006}, doi = {10.1108/S1479-358X(2012)0000009006}, year = {2012}, date = {2012-01-01}, booktitle = {Health disparities among under-served populations: Implications for research, policy and praxis}, journal = {Advances in Education in Diverse Communities: Research, Policy and Praxis}, pages = {3-47}, publisher = {Emerald Group Publishing Limited}, abstract = {Purpose – The purpose of this chapter is to provide a comprehensive overview of the substance use disparities among American Indian/Alaska Native (AI/AN) youth, the contributing factors to these disparities, proven and promising approaches through strengths-based methods, barriers to implementation of prevention and treatment efforts, and future recommendations for effective programs and research. Approach – We have conducted a thorough literature review of relevant research studies, as well as a review of government, tribal, and community-based curricula and resources. This review of programs is not exhaustive but provides several examples of best practices in the field and suggestions for future directions. Social implications – We strongly advocate that to accurately explore the true etiology of substance abuse and to respond to the concerns that AI/AN have prioritized, it is necessary to utilize a strengths-based approach and draw upon traditional AI/AN perspectives and values, and active community participation in the process. More specifically, prevention and treatment programs should use methods that incorporate elders or intergenerational approaches; foster individual and family skills-building; promote traditional healing methods to recognize and treat historical, cultural, and intergenerational and personal trauma; focus on early intervention; and tailor efforts to each Native nation or community. Value – Ultimately, to reduce substance abuse disparities in AI/AN youth, we must find better ways to merge traditional Native practices with western behavioral health to ensure cultural competency, as well as to develop mechanisms to effect system- and policy-level changes that reduce barriers to care and promote the well-being of AI/AN youth, families, and communities.}, keywords = {}, pubstate = {published}, tppubtype = {inbook} } Purpose – The purpose of this chapter is to provide a comprehensive overview of the substance use disparities among American Indian/Alaska Native (AI/AN) youth, the contributing factors to these disparities, proven and promising approaches through strengths-based methods, barriers to implementation of prevention and treatment efforts, and future recommendations for effective programs and research. Approach – We have conducted a thorough literature review of relevant research studies, as well as a review of government, tribal, and community-based curricula and resources. This review of programs is not exhaustive but provides several examples of best practices in the field and suggestions for future directions. Social implications – We strongly advocate that to accurately explore the true etiology of substance abuse and to respond to the concerns that AI/AN have prioritized, it is necessary to utilize a strengths-based approach and draw upon traditional AI/AN perspectives and values, and active community participation in the process. More specifically, prevention and treatment programs should use methods that incorporate elders or intergenerational approaches; foster individual and family skills-building; promote traditional healing methods to recognize and treat historical, cultural, and intergenerational and personal trauma; focus on early intervention; and tailor efforts to each Native nation or community. Value – Ultimately, to reduce substance abuse disparities in AI/AN youth, we must find better ways to merge traditional Native practices with western behavioral health to ensure cultural competency, as well as to develop mechanisms to effect system- and policy-level changes that reduce barriers to care and promote the well-being of AI/AN youth, families, and communities. |
Briody, Elizabeth; Pester, Tracy Meerwarth; Trotter, Robert A story's impact on organizational‐culture change Journal Article Journal of Organizational Change Management, 25 (1), pp. 67-87, 2012. @article{Briody2012, title = {A story's impact on organizational‐culture change}, author = {Elizabeth Briody and Tracy Meerwarth Pester and Robert Trotter}, url = {http://www.emeraldinsight.com/doi/abs/10.1108/09534811211199600}, doi = {10.1108/09534811211199600}, year = {2012}, date = {2012-01-01}, journal = {Journal of Organizational Change Management}, volume = {25}, number = {1}, pages = {67-87}, abstract = {Purpose – The purpose of the paper is to explain the successful implementation of organizational applications, and ensuing organizational change, based on a story from a GM manufacturing plant. Design/methodology/approach – The approach involved collecting and analyzing the Hoist Story as part of a multi‐year ethnographic research project designed to identify the key attributes in an ideal plant culture. Through a cooperative process of co‐production, the authors worked in tandem with organizational members on issues related to organizational‐culture change. Findings – The findings emphasize both the Hoist Story's process impact and outcome impact. The Hoist Story was a catalyst for the change process, resulting in a high level of buy‐in across the organization; as such it contrasts with much of the management literature on “planned change.” It also led to the development of several “packaged products” (e.g. a story script, video, collaboration tools) which propelled GM manufacturing culture closer to its ideal – a culture of collaboration. Using employee stories as a means to understand and drive culture change is a largely underdeveloped area of scholarship. Originality/value – This paper provides value by bridging the gap between theory and praxis. It includes the documentation and cultural analysis of the story, but illustrates how the story evolved into specific organizational‐culture‐change applications. This “soup‐to‐nuts” approach can serve as a model for organizational researchers and change agents interested in spearheading or supporting organizational‐culture change.}, keywords = {}, pubstate = {published}, tppubtype = {article} } Purpose – The purpose of the paper is to explain the successful implementation of organizational applications, and ensuing organizational change, based on a story from a GM manufacturing plant. Design/methodology/approach – The approach involved collecting and analyzing the Hoist Story as part of a multi‐year ethnographic research project designed to identify the key attributes in an ideal plant culture. Through a cooperative process of co‐production, the authors worked in tandem with organizational members on issues related to organizational‐culture change. Findings – The findings emphasize both the Hoist Story's process impact and outcome impact. The Hoist Story was a catalyst for the change process, resulting in a high level of buy‐in across the organization; as such it contrasts with much of the management literature on “planned change.” It also led to the development of several “packaged products” (e.g. a story script, video, collaboration tools) which propelled GM manufacturing culture closer to its ideal – a culture of collaboration. Using employee stories as a means to understand and drive culture change is a largely underdeveloped area of scholarship. Originality/value – This paper provides value by bridging the gap between theory and praxis. It includes the documentation and cultural analysis of the story, but illustrates how the story evolved into specific organizational‐culture‐change applications. This “soup‐to‐nuts” approach can serve as a model for organizational researchers and change agents interested in spearheading or supporting organizational‐culture change. |
Trotter, Robert Applied Medical Anthropology: Praxis, Pragmatics, Politics, and Promises Book Chapter A Companion to Medical Anthropology, Chapter 3, pp. 49-68, Wiley-Blackwell, 2011. @inbook{Trotter2011, title = {Applied Medical Anthropology: Praxis, Pragmatics, Politics, and Promises}, author = {Robert Trotter}, url = {https://nau.pure.elsevier.com/en/publications/applied-medical-anthropology-praxis-pragmatics-politics-and-promi}, doi = {10.1002/9781444395303.ch3}, year = {2011}, date = {2011-07-14}, booktitle = {A Companion to Medical Anthropology}, pages = {49-68}, publisher = {Wiley-Blackwell}, chapter = {3}, abstract = {Applied medical anthropology is a natural extension of basic anthropology theory and methods into a practical exploration of the relationships between culture, society, health, healing, and the definition of distress and disease, with the ultimate goal of deliberately improving health, healing, medicine, and the overall well being of individuals, communities, cultures, and societies. Modern applied medical anthropology has its roots in the earliest exploration of cultural differences in the common everyday experiences that shape peoples’ lives (Rylko-Bauer et al. 2006). While some areas of anthropological research draw heavily on a relatively narrow range of theory and methods, applied medical anthropology tends to draw from all of the primary and secondary areas of anthropological theory. This empirical and eclectic approach often produces crucial new links between different theoretical perspectives and viewpoints within anthropology. It also challenges, supports, expands, and even defeats theoretical paradigms from psychology, economics, political science, public health, epidemiology, and other parts of the biomedical and health research spectrum.}, keywords = {}, pubstate = {published}, tppubtype = {inbook} } Applied medical anthropology is a natural extension of basic anthropology theory and methods into a practical exploration of the relationships between culture, society, health, healing, and the definition of distress and disease, with the ultimate goal of deliberately improving health, healing, medicine, and the overall well being of individuals, communities, cultures, and societies. Modern applied medical anthropology has its roots in the earliest exploration of cultural differences in the common everyday experiences that shape peoples’ lives (Rylko-Bauer et al. 2006). While some areas of anthropological research draw heavily on a relatively narrow range of theory and methods, applied medical anthropology tends to draw from all of the primary and secondary areas of anthropological theory. This empirical and eclectic approach often produces crucial new links between different theoretical perspectives and viewpoints within anthropology. It also challenges, supports, expands, and even defeats theoretical paradigms from psychology, economics, political science, public health, epidemiology, and other parts of the biomedical and health research spectrum. |
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