scholarly journals Article Commentary: The interRAI Pediatric Home Care (PEDS HC) Assessment: Evaluating the Long-term Community-Based Service and Support Needs of Children Facing Special Healthcare Challenges

2015 ◽  
Vol 8 ◽  
pp. HSI.S30775 ◽  
Author(s):  
Charles D. Phillips ◽  
Catherine Hawes
Keyword(s):  
Home Care ◽  
The United States ◽  
Case Managers ◽  
Support Needs ◽  
Assessment Instruments ◽  
Community Based ◽  
Wide Range ◽  
Services And Supports ◽  
Age Range

The vast majority of assessment instruments developed to assess children facing special healthcare challenges were constructed to assess children within a limited age range or children who face specific conditions or impairments. In contrast, the interRAI Pediatric Home Care (PEDS HC) Assessment Form was specifically designed to assess the long-term community-based service and support needs of children and youth aged from four to 20 years who face a wide range of chronic physical or behavioral health challenges. Initial research indicates that PEDS HC items exhibit good predictive validity–-explaining significant proportions of the variance in parents’ perceptions of needs, case managers’ service authorizations, and Medicaid program expenditures for long-term community-based services and supports. In addition, PEDS HC items have been used to construct scales that summarize the strengths and needs of children facing special healthcare challenges. Versions of the PEDS HC are now being used in Medicaid programs in three states in the United States.

Environmental Interpretation for a Diverse Public: Nature Center Planning for Minority Populations

1997 ◽  
Vol 2 (1) ◽  
pp. 27-46 ◽  
Author(s):  
Susan K. Jacohson ◽  
John J. Arana ◽  
Mallory D. McDuff
Keyword(s):  
Ethnic Diversity ◽  
The United States ◽  
Educational Facilities ◽  
Community Based ◽  
Human Environment ◽  
Environmental Interpretation ◽  
School Programs ◽  
Nature Awareness ◽  
The One

The increasing cultural and ethnic diversity in the United States should challenge environmental interpreters to offer programs that attract a variety of audiences. This study investigated minority involvement at Florida's nature centers through a census of 77 nature center directors throughout Florida as well as a survey of 21 minority staff working at these educational facilities. School programs at the nature centers are the primary method for reaching minorities; few programs involve minority adults from the community. The focus of the one-day visits for students is primarily nature awareness, with little emphasis on influencing knowledge or attitudes about local issues, human-environment relationships, or actions to reduce environmental problems. The results indicate the need for nature centers to expand their programs to offer long-term, community-based environmental interpretation for a diverse public.

Utilization of Collaborations to Engage Children in Physical Activity: A Community-Based Research Approach

2017 ◽  
Vol 6 (4) ◽  
pp. 323-328
Author(s):  
Sheri J. Brock ◽  
Danielle Wadsworth ◽  
Shelby Foote ◽  
Mary E. Rudisill
Keyword(s):  
Physical Activity ◽  
The United States ◽  
Research Approach ◽  
Collaborative Partnerships ◽  
Community Based ◽  
Community Partners ◽  
Community Based Research ◽  
Quality Product ◽  
Long Term Impact

Institutions of higher education have a responsibility to prioritize the needs of society and local communities. One essential need prevalent in all communities is to address the rise of obesity and health risks due to lack of participation in physical activity. In the United States, children spend a small percentage of time engaged in physical activity, and engagement decreases further in adolescence and adulthood. Collaborative partnerships between kinesiology faculty at universities and community organizations are one avenue for engaging children in physical activity. Partnerships must be multilevel and community wide to evoke change and have long-term impact and sustainability. Within the context of community-based research, we propose a three-step framework for establishing collaborative partnerships: (1) determining the needs of partners; (2) discussing expertise, services, and philosophy; and (3) providing a quality product. In addition, we outline and illustrate our experiences when collaborating with community partners to promote physical activity.

Functional Assessment of Elderly Clients of a Rural Community-Based Long-Term Care Program: A 10-Year Cohort Study

2002 ◽  
Vol 21 (3) ◽  
pp. 455-463 ◽  
Author(s):  
Frank J. Elgar ◽  
Graham Worrall ◽  
John C. Knight
Keyword(s):  
Home Care ◽  
Long Term Care ◽  
Care Program ◽  
The Elderly ◽  
Home Care Services ◽  
Community Based ◽  
Term Care ◽  
Risk Of Death ◽  
Affective Functioning

ABSTRACTAs the demand for home care services increases, health care agencies should be able to predict the intake capacity of community-based long-term care (CBLTC) programs. Two hundred and thirty-seven clients entering a CBLTC program were assessed for activities of daily living (ADL) and cognitive and affective functioning and were then followed to monitor attrition and reasons why clients left the program. Compromised ADL functioning at baseline increased likelihood of death and institutionalization by 2 per cent each year. Over a 10-year period, reduced cognitive functioning at baseline increased the risk of death by 9 per cent and decreased the likelihood of leaving the program due to improvement by 18 per cent. Reduced affective functioning at baseline increased the risk of institutionalization during the course of the study by 3 per cent. Routine functional assessments with the elderly may help in the management of similar home care programs.

Determining the Long-Term Effectiveness of a Group-Based Physical Activity Program

2018 ◽  
Vol 20 (3) ◽  
pp. 401-408
Author(s):  
Anamica Batra ◽  
Richard C. Palmer ◽  
Elena Bastida ◽  
H. Virginia McCoy ◽  
Hafiz M. R. Khan
Keyword(s):  
Physical Activity ◽  
Older Adults ◽  
Healthy Aging ◽  
Population Level ◽  
The United States ◽  
South Florida ◽  
Community Based ◽  
Evidence Based Programs ◽  
The Impact

Objective. In 2015, only half (48%) of older adults in the United States (≥60 years) reported engaging in any kind of physical activity. Few studies examine the impact of evidence-based programs when adopted in community-based settings. The purpose of this study is to assess the effectiveness of EnhanceFitness (EF) upto 12-months. Method. EF was offered to older adults in South Florida. A total of 222 EF classes were offered between October 2008 and December 2014. Program consisted of a 1-hour session held three times a week. Even though participation was required for 4 months, 1,295 participants continued the program for at least 1 year. Results. All participants showed significant improvement in outcome measures. A mean change of 1.5, 1.7, and 1.9 was seen in number of chair stands at 4, 8, and 12 months (p < .001), respectively. The number of arm curls performed improved from 16.8 at baseline to 18.8, 18.8, and 19.2 at 4-, 8-, and 12-months, respectively. Participants improved their up-and-go time by decreasing from 9.1 (baseline) to 8.7 (4 months) to 8.6 (12 months; p = .001). Discussion. Randomized controlled trials are commonly used to determine the efficacy of an intervention. These interventions when disseminated at the population level have the potential to benefit large masses. EF is currently offered at more than 700 locations. This tremendous success of EF brings attention to an important question of continuous monitoring of these programs to ensure program consistency and intended outcomes. The model used by the Healthy Aging Regional Collaborative could be replicated by other communities.

scholarly journals Outcomes of Medicaid home‐ and community‐based long‐term services relative to nursing home care among dual eligibles

2020 ◽  
Vol 55 (6) ◽  
pp. 973-982
Author(s):  
R. Tamara Konetzka ◽  
Daniel H. Jung ◽  
Rebecca J. Gorges ◽  
Prachi Sanghavi
Keyword(s):  
Nursing Home ◽  
Home Care ◽  
Nursing Home Care ◽  
Community Based ◽  
Dual Eligibles

Recruiting and Retaining People With Disabilities for Qualitative Health Research: Challenges and Solutions

2019 ◽  
Vol 29 (7) ◽  
pp. 1056-1064 ◽  
Author(s):  
Jennifer R. Banas ◽  
Susan Magasi ◽  
Kim The ◽  
David E. Victorson
Keyword(s):  
Health Research ◽  
Critical Analysis ◽  
People With Disabilities ◽  
The United States ◽  
Community Based ◽  
Qualitative Health Research ◽  
Research Challenges ◽  
Participatory Health Research ◽  
Implicit And Explicit

There are 56.7 million people with disabilities (PWD) living in the United States; yet, PWD are significantly underrepresented in health research. Even when researchers purposively seek to include PWD in studies, challenges emerge related to recruitment and retention, leading to inadequate representation and surface understandings of this population. This in turn contributes to the perpetuation of implicit and explicit health disparities that are already experienced by this population. Grounded within a qualitative, community-based participatory health research framework, we highlight challenges associated with recruiting and retaining PWD in health research, including a critical analysis of the research enterprise structure, how this disables accessible research practices for PWD, and leads to continued skepticism among PWD regarding the value of participating in research. Finally, we propose solutions to create and maintain a culture of access and inclusion as well as long-term collaborative and equity-focused partnerships.

scholarly journals HOME AND COMMUNITY-BASED CARE FOR A DIVERSE AND GROWING POPULATION: WORKFORCE POLICY AND PRACTICE IMPLICATIONS

2019 ◽  
Vol 3 (Supplement_1) ◽  
pp. S441-S441
Author(s):  
Kezia Scales ◽  
Jodi M Sturgeon ◽  
Lisa I Iezzoni ◽  
Robert Espinoza ◽  
Stephen Campbell ◽  
...  
Keyword(s):  
Home Care ◽  
Supply And Demand ◽  
The United States ◽  
Key Factors ◽  
Policy And Practice ◽  
Community Based ◽  
Financing Policies ◽  
Care Workers ◽  
Workforce Policy ◽  
Home Care Workers

Abstract Most Americans would prefer to continue living in their homes and communities as they age, even when they require support with daily activities due to illness or disability. Much of this support is provided by unpaid caregivers, but the paid home care workforce also plays an essential role. Due to demographic changes and poor job quality, however, the home and community-based services (HCBS) sector is struggling to attract and retain enough workers to meet demand. Drawing from an extensive analysis of HCBS in the United States, this paper examines key factors impacting the home care workforce, including: supply and demand trends; financing policies; service-delivery models; and policies and practices defining workers’ compensation, training, and career development. From these findings, we provide recommendations for addressing the home care workforce crisis and maximizing home care workers’ contribution to the delivery of high-quality supports for a growing and evolving population of HCBS consumers.

Supervising Community Health Workers in Community-Based Delivery of Primary Health/Family Planning Services: Experiences in Mexico, 1977–1982

1986 ◽  
Vol 6 (4) ◽  
pp. 309-322 ◽  
Author(s):  
Michele G. Shedlin ◽  
Joe D. Wray ◽  
Sergio Correu
Keyword(s):  
Community Health ◽  
Community Health Workers ◽  
Health Program ◽  
Health Workers ◽  
Community Based ◽  
Family Planning Services ◽  
Roles And Responsibilities ◽  
Primary Health ◽  
Wide Range

The supervision of CHWs in the Mexican Rural Health Program (1977–82) illustrates a wide range of problems and strengths because it was developed within a program based on a strong political mandate to deliver services to an extremely large, as well as culturally and geographically diverse population. This article presents an in-depth perspective on the issues involved in the supervision of community health workers with a focus on the myriad roles and responsibilities which are expected from supervisory personnel. The information and observations which are offered come from program evaluation materials as well as the long-term, first hand experience of the authors with the program discussed.

Sign in / Sign up

Export Citation Format

Share Document