scholarly journals Community-Based Brain Health Promotion During the COVID-19 Pandemic: Efforts of AARP in the USA

2021 ◽  
Vol 5 (Supplement_1) ◽  
pp. 487-488
Author(s):  
Lindsay Chura ◽  
Rachel Lazarus ◽  
Sarah Lock
Keyword(s):  
Health Care ◽  
Health Promotion ◽  
Preliminary Data ◽  
Social Engagement ◽  
Lessons Learned ◽  
Brain Health ◽  
Delivery Of Healthcare ◽  
Community Based ◽  
Healthcare Resources ◽  
The Usa

Abstract The pandemic has created new barriers for the delivery of healthcare resources and information, as well as in-person delivery of health care, caregiving, and social engagement. AARP created trainings designed for volunteer-led community-based brain health promotion. Due to the COVID, we have had to convert them to virtual presentations, distributed through technology. Staying Sharp is AARP’s online platform that educates users about integrated, holistic, lifestyle-based approaches for maintaining brain health as we age. This platform was created for convenience and scalability – we currently have over 800,000 users. During a period of necessary isolation, this platform has performed as an ideal way to get helpful information about maintaining brain health to our consumers, who are now stuck at home without access to in-person (e.g., community-based) alternatives. We will discuss lessons learned from these two different approaches along with preliminary data on behavior change based on these engagements.

Are Communities Willing to Transition Into Learning Health Care Communities? A Community-Based Participatory Evaluation of Stakeholders’ Receptivity

2021 ◽  
pp. 104973232199864
Author(s):  
Nabil Natafgi ◽  
Olayinka Ladeji ◽  
Yoon Duk Hong ◽  
Jacqueline Caldwell ◽  
C. Daniel Mullins
Keyword(s):  
Health Care ◽  
Health Care Delivery ◽  
Health Care Professionals ◽  
Care Delivery ◽  
Lessons Learned ◽  
Community Members ◽  
Community Based ◽  
Care Community ◽  
Care Experience ◽  
National Initiative

This article aims to determine receptivity for advancing the Learning Healthcare System (LHS) model to a novel evidence-based health care delivery framework—Learning Health Care Community (LHCC)—in Baltimore, as a model for a national initiative. Using community-based participatory, qualitative approach, we conducted 16 in-depth interviews and 15 focus groups with 94 participants. Two independent coders thematically analyzed the transcripts. Participants included community members (38%), health care professionals (29%), patients (26%), and other stakeholders (7%). The majority considered LHCC to be a viable model for improving the health care experience, outlining certain parameters for success such as the inclusion of home visits, presentation of research evidence, and incorporation of social determinants and patients’ input. Lessons learned and challenges discussed by participants can help health systems and communities explore the LHCC aspiration to align health care delivery with an engaged, empowered, and informed community.

scholarly journals Affordable stroke therapy in high-, low- and middle-income countries: From Theradrive to Rehab CARES, a compact robot gym

2017 ◽  
Vol 4 ◽  
pp. 205566831770873 ◽  
Author(s):  
Michelle Jillian Johnson ◽  
Roshan Rai ◽  
Sarath Barathi ◽  
Rochelle Mendonca ◽  
Karla Bustamante-Valles
Keyword(s):  
Stroke Rehabilitation ◽  
Low Cost ◽  
Lessons Learned ◽  
Stroke Therapy ◽  
Robot Assisted ◽  
Community Based ◽  
Middle Income ◽  
Middle Income Countries ◽  
The Usa ◽  
Improve Access

Affordable technology-assisted stroke rehabilitation approaches can improve access to rehabilitation for low-resource environments characterized by the limited availability of rehabilitation experts and poor rehabilitation infrastructure. This paper describes the evolution of an approach to the implementation of affordable, technology-assisted stroke rehabilitation which relies on low-cost mechatronic/robot devices integrated with off-the-shelf or custom games. Important lessons learned from the evolution and use of Theradrive in the USA and in Mexico are briefly described. We present how a stronger and more compact version of the Theradrive is leveraged in the development of a new low-cost, all-in-one robot gym with four exercise stations for upper and lower limb therapy called Rehab Community-based Affordable Robot Exercise System (Rehab C.A.R.E.S). Three of the exercise stations are designed to accommodate versions of the 1 DOF haptic Theradrive with different custom handles or off-the-shelf commercial motion machine. The fourth station leverages a unique configuration of Wii-boards. Overall, results from testing versions of Theradrive in USA and Mexico in a robot gym suggest that the resulting presentation of the Rehab C.A.R.E.S robot gym can be deployed as an affordable computer/robot-assisted solution for stroke rehabilitation in developed and developing countries.

The application of the complexity theory to public health interventions: a review of the literature

2020 ◽  
Vol 30 (Supplement_5) ◽  
Author(s):  
P Contu ◽  
E Breton
Keyword(s):  
Public Health ◽  
Health Care ◽  
Health Promotion ◽  
Complexity Theory ◽  
Health Care Services ◽  
Health Interventions ◽  
Review Of The Literature ◽  
Community Based Interventions ◽  
Community Based ◽  
Care Services

Abstract Background There is a growing recognition of the limitations of a linear cause-and-effect rationality in planning and evaluating public health interventions. Although this perspective is amenable to programme planning and evaluation, it leaves aside a whole array of mechanisms of change triggered by interactions taking place in complex social systems. Generative causality is one and recognized under a number of works referring to the complexity paradigm. Here we review the state of knowledge on what is often referred to as the complexity theory (CT), and present the results of a review of the literature on its application in public health. Methods We searched PubMed for articles, commentaries, editorials published in English, French and Italian, using the keywords 'Complexity Theory' (also plural). We categorized the fields of application of the CT according to the three core WHO's Essential Public Health Operations, i.e., Health Promotion, Prevention and Protection. All papers addressing issues related to health care services (but not prevention) were included in the category “health care services” while others were tagged as “others”. Results We found 203 papers meeting our inclusion criteria. The largest share of the research output applying the CT was in health care services (n = 167), followed by Health Promotion (5), Prevention (3) and Protection (2). 26 papers were labelled others. In health promotion/ prevention, applications of the CT have yet to integrate most of its concepts. Most authors tap into both the linear and generative rationality perspectives. Conclusions Although regularly deemed as promising in uncovering mechanisms for change triggered by public health intervention, applications of the complexity theory remain uncommon and has made little inroads in the public health domain. This is particularly the case for health promotion where one would assume that participatory community-based interventions would be an incentive to integrate this perspective. Key messages Although deemed promising the complexity theory has made little inroads in public health. Health promotion with its participatory community-based interventions can benefit from its application.

Implementing a Community-based Oral Health Care Program: Lessons Learned

2003 ◽  
Vol 63 (4) ◽  
pp. 240-243 ◽  
Author(s):  
Richard Diamond ◽  
Eugene Litwak ◽  
Stephen Marshall ◽  
Alexis Diamond
Keyword(s):  
Health Care ◽  
Oral Health ◽  
Care Program ◽  
Oral Health Care ◽  
Lessons Learned ◽  
Community Based ◽  
Health Care Program

UNICEF’s Urban Basic Services Programme in Illegal Settlements in Guatemala City

Urbanisation ◽  
2018 ◽  
Vol 3 (1) ◽  
pp. 33-49
Author(s):  
Lair Espinosa ◽  
Oscar A. López Rivera
Keyword(s):  
Health Care ◽  
Health Promotion ◽  
Child Development ◽  
Day Care ◽  
Government Agencies ◽  
Guatemala City ◽  
Community Based ◽  
Housing Improvement ◽  
New Models ◽  
Basic Services

This article describes the Urban Basic Services Programme that UNICEF’s Guatemala Office developed in Guatemala City between 1984 and 1993. Working initially with other NGOs and subsequently with government agencies, the programme developed a variety of community based, community directed initiatives for water, sanitation and drainage, housing improvement, health promotion, health care and child development in the illegal or informal settlements in which close to half of Guatemala City’s population live. The programme included an innovative network of health promoters elected from their own community and new models of community based day care.

Lessons Learned From Community-Based Minority Health Care Serving System Participation in an NIH Clinical Trial

2011 ◽  
Vol 103 (9-10) ◽  
pp. 839-844 ◽  
Author(s):  
Camellus O. Ezeugwu ◽  
Aurelia Laird ◽  
C. Daniel Mullins ◽  
Daljeet S. Saluja ◽  
Reed A. Winston
Keyword(s):  
Health Care ◽  
Clinical Trial ◽  
Minority Health ◽  
Lessons Learned ◽  
Community Based

scholarly journals Culturally Responsive Health Promotion to Address Health Disparities in African American Men: A Program Impact Evaluation

2020 ◽  
Vol 14 (4) ◽  
pp. 155798832095132
Author(s):  
Olihe N. Okoro ◽  
Chantele S. Nelson ◽  
Stephan P. Witherspoon ◽  
Salaam F. Witherspoon ◽  
Glenn E. Simmons
Keyword(s):  
Social Support ◽  
Health Care ◽  
Health Promotion ◽  
African American ◽  
Health Outcomes ◽  
Self Efficacy ◽  
Health Care Seeking ◽  
Care Seeking ◽  
Community Based ◽  
Program Impact

African American (AA) men continue to experience worse health outcomes compared to men of other races/ethnicities. Community-based interventions are known to be effective in health promotion and disease prevention. The program objectives were to (a) increase knowledge and risk awareness of targeted conditions, (b) change health-care-seeking attitudes toward regular primary care among AA men, and (c) improve their lifestyle-related health behaviors by leveraging the influence of women in their lives. The community-engaged educational intervention targeted both men and women and included eight 90-min sessions per cohort. Topics included prostate cancer, cardiovascular disease, diabetes, mental health, health-care access, and healthy lifestyle. Sessions were both didactic and interactive. A pre-/post-intervention questionnaire assessed knowledge. Interviews were conducted with male participants and a focus group discussion (FGD) with women to assess program impact. Interview and FGD transcripts were analyzed for themes and recommendations. Major themes were—increased knowledge/awareness of risk associated with chronic conditions, change in health-care-seeking attitudes, increased self-efficacy to engage the health-care system, and lifestyle changes. Other impacts reported were building community/social support, a safe and enabling learning environment, and enhanced community health status overall. Recommendations included having extended, more in-depth sessions, targeting the younger generation, smaller cohort sizes, and more community-based health programming. Community-engaged health promotion using a cohort model as well as including women can be effective in increasing knowledge, enhancing self-efficacy, and providing the much-needed social support. These can influence health-related behaviors and thus contribute to improving health outcomes for AA men.

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