<p> Hypertension is a common public health problem. Lack of self-care practices and non-adherence to treatment plans are among the primary reasons for the increasing cases of the condition. The project assessed the teach-back method and the reliability of assessment tools in improving health literacy and hypertension management among adult patients with hypertension. Effective patient education is critical for the control and treatment of hypertension. A convenience sampling was used to recruit patients with hypertension (<i>N</i>=16) in a primary care facility. A quantitative descriptive pre and post study design ascertained the effectiveness of the teaching intervention. Participants received face-to-face teach-back educational sessions accompanied by American Heart Association&rsquo;s <i>Understanding and Controlling your High Blood Pressure.</i> The Healthcare Effectiveness Data and Information Set (HEDIS) guideline and the Hypertension Knowledge-Level Scale (HK-LS) were valuable in measuring outcomes before and after the intervention. There was a statistically significant improvement in median HK-LS from pre-intervention (52% IQR: 36%, 66%), to post-intervention (95% IQR: 86%, 100%, Z=-3.521, <i>p</i> &lt; .001). Also, 50% of the participants met the HEDIS BP guidelines of BP less than 140/90 at post-intervention whereas none had met the target pre-intervention. The findings indicate the teach-back method to be effective in improving hypertension knowledge and BP control in this population. Healthcare providers should employ an easy to understand patient educational tool to optimize patient understanding and ability to adhere to their hypertension regimen.</p><p>

<p> Mint Green is a limited liability company who provides preventative health care services to the Greater Long Beach area. Mint Green is entering the Weight Loss Services Industry which is experiencing rapid growth due to the enactment of the Patient Protection and Affordable Care Act. Mint Green has the opportunity to reach approximately 65% of firms who offer health benefits to their employees. Mint Green&rsquo;s Healthy Eating and Lifestyle Plan (HELP) is the core instruction to the weight loss programs. Mint Green has four types of weight loss programs; each developed to satisfy a wide array of budgets. Mint Green is projected to yield a profitable margin.</p>

<p> Proper implementation of pregnancy prevention programs is essential to sexual health program success and intended health outcomes for participants (Demby et. al, 2014). Large scale implementation of state-wide and local programs can vary. Multiple studies have shown that proper implementation of such programs is an essential requirement to their success (LaChausse, Clark, &amp; Chapple, 2014; Demby et. al, 2014; Fixsen et. al, 2009). Generally, there are three types of organizations that receive funds for pregnancy prevention program implementation: schools, large city community organizations, and smaller community-based organizations (Demby et. al, 2014; Fixsen et. al, 2009). Be Proud! Be Responsible! is an evidence-based comprehensive sexual health curriculum that is implemented in all three settings.</p><p> The current study is an evaluability assessment of Be Proud! Be Responsible!, one of the evidence-based programs implemented as part of the New York State Department of Health&rsquo;s Comprehensive Adolescent Pregnancy Prevention initiative. Evaluability assessments, also known as &lsquo;exploratory evaluations&rsquo;, are administered with the intention of providing enough useful information to maximize the program&rsquo;s subsequent evaluations, policies, or practices (Leviton et. al, 2010). This evaluability assessment utilized a mixed-methods approach in the form of interviews, fieldnotes from observation, document review, and secondary data analysis during Fall 2014 and Spring 2015, using Be Proud! Be Responsible! data from 2012-2013. </p><p> This study drew upon multiple sources to seek convergence and corroboration through the use of different data sources and methods (Bowen, 2009). By using this mixed-method approach to analysis it was determined that process evaluation is feasible and assessable while outcome evaluation can be carried out in the future with slight modification to the current measurement tools &ndash; the pre- and post- test, attendance records, and the fidelity checklist. It was also determined that there was a significant change in pre- and post- test responses for Be Proud! Be Responsible! participants in 2013, showing that evidence-based sexual health programs can be successful when properly implemented in specific settings.</p>

Thesis (PH.D.) -- Syracuse University, 2007. / "Publication number AAT 3266297"

Thesis (Trabajador Social Rural)--Universidad de San Carlos de Guatemala. / Includes bibliographical references (p. 57-58).

Thesis (Ph.D.)--York University, 2005. Graduate Programme in Sociology. / Typescript. Includes bibliographical references (leaves 235-244). Also available on the Internet. MODE OF ACCESS via web browser by entering the following URL: http://wwwlib.umi.com/cr/yorku/fullcit?pNR11582

<p> Expansion of Medicaid and private health insurance coverage through passage of the Affordable Care Act of 2010 was expected to increase primary care access and reduce emergency department (ED) use by reducing financial burden and improving affordability of care. The aim of this study was to examine the differences in utilization patterns that exist among the Medicaid population that participated in an optimal level of care (OLC) intervention inclusive of appointments scheduled to primary care providers. Using the integrated behavior model as a theoretical framework, the key research question focused on determining if there was a difference in ED use among Medicaid individuals who scheduled follow-up appointments compared to those that did not schedule follow-up appointments. The sample population consisted of 176 Medicaid enrollees who presented to the ED for treatment of nonurgent conditions and participated in an OLC intervention from June 2016 to July 2017. The results showed that there were no differences in ED utilization between the population that had scheduled appointments compared to the population that did not have scheduled appointments. A bivariate analysis on demographic variables also showed no differences in ED utilization among the variables. The social change implications of this study are that the practice of scheduling appointments with primary care providers does not reduce or affect ED utilization in the Medicaid population. This study contributes to positive social change through the findings that reducing ED utilization requires more than follow-up appointment scheduling with primary care providers. Further studies are warranted to understand the potential barriers and factors that affect ED utilization.</p><p>

<p> Maintenance of appropriate posture is essential for the prevention of various musculoskeletal disorders. Postural stress is a common issue in elementary school children. The literature review indicated that schoolteachers have inadequate and improper postural knowledge. Based on such concepts, elementary schoolteachers in this present study implemented a postural awareness education program designed by the American Posture Institute. The present study indicated that postural awareness amongst schoolteachers was significantly low before the start of the program and was significantly increased after implementing the program (<i>p</i> &lt; 0.01). Moreover, the program results seemed to match the expectations of the posture awareness program. However, the analysis also indicated that teachers failed to achieve requisite postural knowledge on all postural concepts (<i>p</i> &lt; 0.01). Hence, the study necessitated the need for improving the postural awareness program (which was designed and developed by API). The study participants failed to develop a holistic knowledge on postural concepts and could not correlate different postural concepts with one another (<i>p</i> > 0.05). The study necessitated the need for sensitizing schoolteachers on different aspects of physiology and anatomy before implementing a postural education program.</p><p>

Thesis (M.P.H.)--University of Michigan, 1945.

Thesis (M.P.H.)--University of Michigan, 1945.