Building Evidence on Employment Strategies for Low-Income Families (BEES): Individual Placement and Support (IPS) in a Federally Qualified Health Center (FQHC) Setting

2021 ◽  
Author(s):  
Charles Michalopoulos
Keyword(s):  
Health Center ◽  
Low Income ◽  
Federally Qualified Health Center ◽  
Low Income Families

scholarly journals Outreach and Inreach Strategies for Colorectal Cancer Screening Among Latinos at a Federally Qualified Health Center: A Randomized Controlled Trial, 2015–2018

2020 ◽  
Vol 110 (4) ◽  
pp. 587-594
Author(s):  
Sheila F. Castañeda ◽  
Balambal Bharti ◽  
Marielena Rojas ◽  
Silvia Mercado ◽  
Adriana M. Bearse ◽  
...  
Keyword(s):  
Colorectal Cancer ◽  
Randomized Controlled Trial ◽  
Usual Care ◽  
Health Center ◽  
Low Income ◽  
Controlled Trial ◽  
Crc Screening ◽  
Randomized Controlled ◽  
Federally Qualified Health Center ◽  
Mexico Border

Objectives. To compare usual care, inreach consisting of one-on-one education, mailed outreach offering a fecal immunochemical test (FIT), and a combination of outreach and inreach for promoting colorectal cancer (CRC) screening. Methods. We conducted a 4-arm randomized controlled trial from 2015 to 2018 at a US federally qualified health center near the California–Mexico border primarily serving low-income Hispanics/Latinos. A total of 673 individuals aged 50 to 75 years not up to date with screening were assigned to 1 of the 4 intervention groups. The primary outcome was CRC screening through 6 months follow-up. Results. A total of 671 patients were included in intention-to-screen analyses. Their mean age was 59.9 years, 48.9% were male, and 86.3% were primarily Spanish-speaking. Screening was 27.5% for usual care (95% confidence interval [CI] = 0.21, 0.34), 52.7% for inreach (95% CI = 0.45, 0.60), 77.2% for outreach (95% CI = 0.71, 0.83), and 78.9% for combination of inreach and outreach (95% CI = 0.73, 0.85; P < .001 for all comparisons except P = .793 for outreach vs combination). Conclusions. Among individuals at high risk for noncompletion, inreach with one-on-one education nearly doubled, and outreach offering mailed FIT alone or in combination with inreach nearly tripled screening compared with usual care. Mailed FIT outreach was superior to inreach for promoting screening.

scholarly journals Establishing a SARS-CoV-2 (COVID-19) Drive-Through Collection Site: A Community-Based Participatory Research Partnership With a Federally Qualified Health Center

2021 ◽  
Vol 111 (4) ◽  
pp. 658-662
Author(s):  
LaPrincess C. Brewer ◽  
Cynthia Woods ◽  
Aarti Patel ◽  
Jennifer Weis ◽  
Clarence Jones ◽  
...  
Keyword(s):  
Health Center ◽  
Low Income ◽  
Diagnostic Testing ◽  
Community Based Participatory Research ◽  
The United States ◽  
Academic Community ◽  
Collection Site ◽  
Disadvantaged Population ◽  
Federally Qualified Health Center ◽  
Structural Inequities

The COVID-19 pandemic has disproportionately affected underserved and minority populations in the United States. This is partially attributable to limited access to diagnostic testing from deeply rooted structural inequities precipitating higher infection and mortality rates. We describe the process of establishing a drive-through collection site by leveraging an academic–community partnership between a medical institution and a federally qualified health center in Minnesota. Over 10 weeks, 2006 COVID-19 tests were provided to a socioeconomically disadvantaged population of racial/ethnic minorities and low-income essential workers.

scholarly journals Adapting a Family-Focused Diabetes Prevention Program for a Federally Qualified Health Center: A Qualitative Report

2020 ◽  
Vol 46 (2) ◽  
pp. 161-168
Author(s):  
Patrick Rivers ◽  
Melanie Hingle ◽  
Griselda Ruiz-Braun ◽  
Robert Blew ◽  
Joy Mockbee ◽  
...  
Keyword(s):  
Gestational Diabetes ◽  
Health Center ◽  
Low Income ◽  
Prevention Program ◽  
Diabetes Prevention ◽  
Family Members ◽  
Diabetes Prevention Program ◽  
Willingness To Participate ◽  
Federally Qualified Health Center ◽  
History Of

Purpose The purpose of the study was to explore the needs of high-risk Latinx/Hispanic women with a history of gestational diabetes who were patients at a Federally Qualified Health Center (FQHC) in anticipation of a future family-based program. Methods Six focus group studies were conducted in partnership with El Rio Community Health Center, an FQHC in Tucson, Arizona. Thirty-nine women participated, each identified as Latinx/Hispanic, self-reported a history of gestational diabetes or prediabetes, and had at least 1 child aged 8 to 13. Three investigators independently reviewed transcripts from the focus groups to identify themes that reflected thematic saturation from participants’ responses. Data coding and results were discussed as a group and any differences were collectively adjudicated. Results All participants had a family member with diabetes and worried about their and their immediate family members’ risk for developing the disease. The possible benefits of participating in a lifestyle prevention program were universally recognized, but multiple barriers to participation were described, including scheduling conflicts, access to childcare, transportation, and the need to involve additional family members to reinforce program objectives. Conclusions There is a strong willingness to participate in a diabetes prevention program among respondents, but to be successful, interventions must be tailored to specific needs and challenges. Trying to apply existing prevention curricula with low-income Latinx/Hispanic populations may not be successful without adaptations.

Demonstrating Nutrient Cost Gradients: A Brooklyn Case Study

2014 ◽  
Vol 84 (5-6) ◽  
pp. 244-251 ◽  
Author(s):  
Robert J. Karp ◽  
Gary Wong ◽  
Marguerite Orsi
Keyword(s):  
Low Income ◽  
Energy Content ◽  
Food Selection ◽  
The United States ◽  
United States Department ◽  
Micronutrient Deficiencies ◽  
Caloric Density ◽  
Low Income Families ◽  
The Cost ◽  
The Impact

Abstract. Introduction: Foods dense in micronutrients are generally more expensive than those with higher energy content. These cost-differentials may put low-income families at risk of diminished micronutrient intake. Objectives: We sought to determine differences in the cost for iron, folate, and choline in foods available for purchase in a low-income community when assessed for energy content and serving size. Methods: Sixty-nine foods listed in the menu plans provided by the United States Department of Agriculture (USDA) for low-income families were considered, in 10 domains. The cost and micronutrient content for-energy and per-serving of these foods were determined for the three micronutrients. Exact Kruskal-Wallis tests were used for comparisons of energy costs; Spearman rho tests for comparisons of micronutrient content. Ninety families were interviewed in a pediatric clinic to assess the impact of food cost on food selection. Results: Significant differences between domains were shown for energy density with both cost-for-energy (p < 0.001) and cost-per-serving (p < 0.05) comparisons. All three micronutrient contents were significantly correlated with cost-for-energy (p < 0.01). Both iron and choline contents were significantly correlated with cost-per-serving (p < 0.05). Of the 90 families, 38 (42 %) worried about food costs; 40 (44 %) had chosen foods of high caloric density in response to that fear, and 29 of 40 families experiencing both worry and making such food selection. Conclusion: Adjustments to USDA meal plans using cost-for-energy analysis showed differentials for both energy and micronutrients. These differentials were reduced using cost-per-serving analysis, but were not eliminated. A substantial proportion of low-income families are vulnerable to micronutrient deficiencies.

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