Journal articles: 'Choices for Care in Illinois (Program)'

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Robinson, J. Daniel, Stephen C. Piscitelli, Donna J. Occhipinti, Larry H. Danziger, Carlotta Hill, Dennis P. West, and James H. Fischer. "Therapeutic Monitoring and Pharmacist Intervention in a Hansen's Disease Clinic." Annals of Pharmacotherapy 27, no. 12 (December 1993): 1526–31. http://dx.doi.org/10.1177/106002809302701220.

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OBJECTIVE: To describe the role of the clinical pharmacist in a Hansen's disease (HD, leprosy) clinic and to describe the development, validation, and operation of a dapsone compliance monitoring program. RATIONALE: HD remains a major, worldwide healthcare problem. Dapsone is the drug of choice for treatment of HD; however, high rates of noncompliance with this agent have been reported by many treatment centers. The assessment of compliance in HD patients is important to help distinguish between treatment failure secondary to noncompliance or to the development of resistance. SETTING: In the US, the Chicago Regional Hansen's Disease Center at the University of Illinois at Chicago is one of ten centers that provide comprehensive care to patients diagnosed with this condition. This article reviews the clinical pharmacy services and dapsone compliance program in the clinic encompassing the years 1983–93. RESULTS: The clinical pharmacist provides a variety of clinical services in the clinic as well as coordinating the clinical research program. A pharmacist-generated dapsone compliance program led to improvement in compliance rates and clinical outcome. This improvement in compliance has been sustained over an extended period of time. CONCLUSIONS: The clinical pharmacy services performed in the HD clinic provide a model for pharmacy involvement in other chronic disease states. The dapsone compliance program has been successful in improving patient care and obtaining reimbursement for clinical pharmacy services.

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Leichter, Howard M. "Paying for Health Care: Public Policy Choices for Illinois." Journal of Health Politics, Policy and Law 18, no. 4 (1993): 1008–11. http://dx.doi.org/10.1215/03616878-18-4-1008.

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Muzaffar, Henna, Paulina Karecka, Courtney Hughes, Faisal Kalota, Melani Duffrin, and Kristen Borre. "Evaluation of the Coordinated Approach to Child Health (CATCH) Program in Third Through Fifth Graders in Northern Illinois." Current Developments in Nutrition 5, Supplement_2 (June 2021): 984. http://dx.doi.org/10.1093/cdn/nzab051_028.

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Abstract Objectives Conducting evaluations of health promotion programs are imperative to determine the program's impact and explore possible improvements in content and delivery. This study's objective was to evaluate the effectiveness of CATCH program, delivered by dietetic interns and Northern Illinois University (NIU) students, to third through fifth graders in Northern Illinois, in increasing their nutrition knowledge and healthy choices behavior. Methods In total, 167 elementary school children in grades third through fifth in Northern Illinois participated in a non-experimental program evaluation study. We delivered six CATCH lessons throughout the academic year to five elementary schools. Lessons were focused on ‘Go, Slow, Whoa’ food categories to help children understand healthier food choices. Validated questionnaires from the CATCH Global Foundation were administered in classrooms and online pre- and post-intervention to assess nutritional knowledge and healthy choices behavior. Results Children in third through fifth grades significantly increased their knowledge about nutrient-dense foods (P < .001 for each grade). Fourth and fifth graders exhibited a significant increase in their ability to make healthier food choices, P = .03 and P = .007 respectively. As grade level increased from third to fifth grade, improvement in nutrition knowledge and adoption of healthy food choices did not increase significantly; third to fourth grade, P = .973 and fourth to fifth grade, P = .637. Conclusions We conclude that children in grades third through fifth who participated in the six lessons of the CATCH program expanded their nutritional knowledge and improved their ability to make healthier choices. This study demonstrates the potential benefits of communiversity collaborations for nutrition education in schools. However, higher grades did not show a greater increase in knowledge or more improvement in making healthy choices than lower grades. Future research should examine the same cohort of children over three years of participation to determine the accumulation of knowledge and behavior improvement. Funding Sources Northwestern Medicine Kishwaukee Health Center in DeKalb, IL and Northern Illinois University provided funds to procure supplies and cover printing cost of evaluation surveys.

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Canady, Valerie A. "Illinois program moves forward with BH care amid budget woes." Mental Health Weekly 26, no. 17 (April 25, 2016): 5–6. http://dx.doi.org/10.1002/mhw.30589.

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Huyck, Michael, Stockton Mayer, Sarah Messmer, and Charles Yingling. "Community Wound Care Program Within a Syringe Exchange Program: Chicago, 2018–2019." American Journal of Public Health 110, no. 8 (August 2020): 1211–13. http://dx.doi.org/10.2105/ajph.2020.305681.

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People who inject drugs (PWID) are at increased risk for developing wounds in addition to skin and soft tissue infections. The University of Illinois at Chicago College of Nursing, College of Medicine, and School of Public Health collaborated to establish a medical clinic serving PWID attending a Chicago syringe exchange program. A wound care program was implemented to improve clinicians’ competence. During October 2018 to August 2019, 24% of all encounters were related to wound complaints.

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Misch, Diane M., and Rhapsody Mason. "4.1 ILLINOIS DOCASSIST: A CONSULTATIVE STATEWIDE PROGRAM FOR PERINATAL PRIMARY CARE PROVIDERS." Journal of the American Academy of Child & Adolescent Psychiatry 55, no. 10 (October 2016): S6—S7. http://dx.doi.org/10.1016/j.jaac.2016.07.456.

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DeWitt, Dawn E., J. Randall Curtis, and Wylie Burke. "What influences career choices among graduates of a primary care training program?" Journal of General Internal Medicine 13, no. 4 (March 1998): 257–61. http://dx.doi.org/10.1046/j.1525-1497.1998.00076.x.

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Phillips, R. L., M. Han, S. M. Petterson, L. A. Makaroff, and W. R. Liaw. "Cost, Utilization, and Quality of Care: An Evaluation of Illinois' Medicaid Primary Care Case Management Program." Annals of Family Medicine 12, no. 5 (September 1, 2014): 408–17. http://dx.doi.org/10.1370/afm.1690.

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Yue, Yiding, and Jinyou Zou. "The Role of Wealth and Health in Insurance Choice: Bivariate Probit Analysis in China." Mathematical Problems in Engineering 2014 (2014): 1–9. http://dx.doi.org/10.1155/2014/658205.

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This paper captures the correlation between the choices of health insurance and pension insurance using the bivariate probit model and then studies the effect of wealth and health on insurance choice. Our empirical evidence shows that people who participate in a health care program are more likely to participate in a pension plan at the same time, while wealth and health have different effects on the choices of the health care program and the pension program. Generally, the higher an individual’s wealth level is, the more likelihood he will participate in a health care program; but wealth has no effect on the participation of pension. Health status has opposite effects on choices of health care programs and pension plans; the poorer an individual’s health is, the more likely he is to participate in health care programs, while the better health he enjoys, the more likely he is to participate in pension plans. When the investigation scope narrows down to commercial insurance, there is only a significant effect of health status on commercial health insurance. The commercial insurance choice and the insurance choice of the agricultural population are more complicated.

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Sherry, Jennifer S. "An Evaluation of Elementary School Nutrition Practices and Policies in a Southern Illinois County." Journal of School Nursing 24, no. 4 (August 2008): 222–28. http://dx.doi.org/10.1177/1059840508319631.

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The purpose of this study is to assess elementary school nutrition programs in a rural county in southern Illinois. The researcher interviewed the food service managers of eight schools and completed the School Health Index (SHI) based on their responses. Eighty-seven percent of the schools did not have venues such as vending machines outside the cafeteria. Three food service managers stated that from 75% to 80% of the students in the district ate lunch in the cafeteria. The SHI corresponds to the eight components of a coordinated school health program; nutrition services are just one of the eight components. The SHI is a tool that can be used to identify strengths and weaknesses in the nutrition program. It covers items from healthy, low-fat choices to food preparation and cafeteria practices. School nurses can work with teachers and food service personnel to create nutrition programs and a curriculum related to healthy nutrition practices.

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Bergo, Cara Jane, Bethany Dominik, Stephanie Sanz, Kristin Rankin, and Arden Handler. "Persisting Gaps in Coverage and Services of Illinois Women Who Acquired Insurance After Implementation of the Affordable Care Act." Public Health Reports 134, no. 4 (June 6, 2019): 417–22. http://dx.doi.org/10.1177/0033354919853265.

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Objectives: Before implementation of the Affordable Care Act, many uninsured women in Illinois received care through safety-net programs. The new law allowed them to acquire health insurance through Medicaid or the Illinois Health Exchange. We examined (1) the health care experiences of such women who previously used a safety-net program and acquired this new coverage and (2) persisting gaps in coverage for breast and cervical cancer services and other health care services. Methods: We interviewed a stratified random sample of 400 women aged 34-64 in Illinois each year during 2015-2017 (total N = 1200). We used multivariable logistic regression models to determine the association between health insurance status (Illinois Health Exchange vs Medicaid) and past 12-month gaps in coverage (ie, delaying care, not having a recent mammogram, having a medical cost, and having a medical cost not covered) for the 360 women who were former participants of the Illinois Breast and Cervical Cancer Program. We calculated odds ratios (ORs) and 95% confidence intervals (CIs), adjusting for race/ethnicity, age, income, and education. Results: We found no significant differences by health insurance status in the prevalence of delaying preventive, chronic, or sick care; timeliness of the most recent mammogram; and having a major medical cost. However, of women who reported a major medical cost, women with health insurance through the Illinois Health Exchange had a higher prevalence of not having a cost covered than women with Medicaid (adjusted OR = 4.86; 95% CI, 1.48-16.03). Conclusions: The results of this study suggest that many women who gained health insurance lacked adequate coverage and services. Safety-net programs will likely continue to play an essential role in supporting women as they navigate a complex system.

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Moorman, Sara M., Deborah Carr, Karin T. Kirchhoff, and Bernard J. Hammes. "An Assessment of Social Diffusion in the Respecting Choices Advance Care Planning Program." Death Studies 36, no. 4 (April 2012): 301–22. http://dx.doi.org/10.1080/07481187.2011.584016.

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Woolhandler, Steffie, David U. Himmelstein, and Quentin Young. "High Noon for U.S. Health Care Reform." International Journal of Health Services 23, no. 2 (April 1993): 193–211. http://dx.doi.org/10.2190/egk0-f7h9-hy13-3yna.

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A growing popular movement besieges a health policy status quo near financial as well as moral bankruptcy. A single-payer, Canadian-style national health program would assure universal, egalitarian coverage; democratic, rather than corporate, control of key policy choices; financing based on ability to pay; and cost controls that spare needed care as well as health workers' standard of living. Despite a misinformation campaign (generously funded by insurance and pharmaceutical firms) that slanders the Canadian experience, most Americans favor a national health program. The public health community should fight for no less.

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Leither, Maxwell D., and Nathan D. Ontrop. "Improving Diabetes Care in the Uninsured: The Success of the Access To Care Program in Cook County, Illinois." Journal of Health Care for the Poor and Underserved 23, no. 1 (2012): 460–73. http://dx.doi.org/10.1353/hpu.2012.0014.

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Eijkenaar, Frank. "Pay for Performance in Health Care." Medical Care Research and Review 69, no. 3 (February 6, 2012): 251–76. http://dx.doi.org/10.1177/1077558711432891.

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Pay for performance (P4P) has become a popular approach to performance improvement in health care. Most of the P4P literature has focused on the United States and there is limited insight in the characteristics of major programs initiated in other countries. This article systematically describes and reviews P4P programs outside the United States. Our literature search identified 13 programs initiated in 9 countries. Although the programs share many similarities, they differ in several important respects, also when compared with the typical P4P program in the United States. In addition, there are clearly possibilities to increase incentive strength and minimize incentives for undesired behavior. In part, observed heterogeneity will be a consequence of contextual differences, but design choices often also seem to be made arbitrarily. In designing their programs, purchasers are hampered by limited knowledge of the influence of specific design choices and effective strategies to mitigate undesired behavior.

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Sinclair, John C. "Economic Evaluation of Neonatal Intensive Care:Which Variables Have to Be Known?" International Journal of Technology Assessment in Health Care 7, S1 (January 1991): 146–50. http://dx.doi.org/10.1017/s0266462300012708.

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An economic evaluation of a health care program seeks to investigate the relative costs and consequences of alternative strategies in health care by examining the values of the resources used and weighing them against the values of the outcomes. Because resources are finite, there are choices to be made about how best to use them. Thus, the concept of the value of resources that is applied in an economic evaluation is that of opportunity cost: since resources are finite, deploying them in one way means that a benefit is foregone in not having them available to pursue the best alternative. An economic evaluation of a health care program fundamentally is an exercise about choices, not simply about money.

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Rennhoff, Adam D., and Mark F. Owens. "Competition and the Strategic Choices of Churches." American Economic Journal: Microeconomics 4, no. 3 (August 1, 2012): 152–70. http://dx.doi.org/10.1257/mic.4.3.152.

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We examine how the decisions of churches are impacted by the decisions of rival churches. Using a novel dataset, we estimate a model of strategic interaction, which accounts for the location and denomination of churches. We focus on a church's decision of whether to provide a weekday child care program. Empirical evidence indicates that churches compete more strongly with same-denomination churches than with different-denomination churches. These effects diminish with distance. (JEL J13, L31, Z12)

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Nocon, Cheryl, Mihir Bhayani, and Amanda Karcioglu. "Tobacco cessation practices among primary care physicians in northern Illinois." Journal of Clinical Oncology 37, no. 15_suppl (May 20, 2019): e23054-e23054. http://dx.doi.org/10.1200/jco.2019.37.15_suppl.e23054.

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e23054 Background: Tobacco cessation is an acknowledged key component of cancer survivorship programs, but significant barriers to program implementation exist. In a 2012 ASCO member survey, 86% of respondents agreed that tobacco cessation should be a routine part of clinical care. However, only 29% reported adequate training. A 2013 survey of physicians at NCI Cancer Centers also showed high levels of support for such programs, but only 1% of oncologists personally engaged themselves. This view is in line with ASCO guidelines that recommend cessation interventions by primary care (PCPs). There is a disconnect between the oncologist’s desire to provide high quality tobacco cessation support for cancer patients and the delegation and delivery of such support. The goal of our study is to evaluate current tobacco cessation practices of PCPs in a large integrated healthcare system. Methods: An electronic survey was sent to all PCPs (n = 165) of the NorthShore Medical Group (Northern Illinois) with questions about their views and practices regarding tobacco cessation. Results: 53 PCPs responded to the survey (response rate of 32%). 94% of respondents believe that PCPs are primarily responsible for addressing tobacco cessation with general patients. 89% believe that PCPs are also responsible for cancer patients, although 34% believe the responsibility should be shared with oncologists. 100% believe that tobacco use affects cancer outcomes in their patients, and 98% report sufficient training in providing cessation support. 90% always ask their patients about tobacco status at the initial visit; this drops to 21% at follow-up visits. For current smokers, 57% of PCPs recommend tobacco cessation all the time and 36% recommend services most of the time. Lack of patient willingness was the most frequently cited barrier to tobacco cessation efforts (74%), followed by lack of time (46%) and lack of resources (42%). Conclusions: PCPs view themselves as primarily responsible for addressing tobacco cessation with their patients but are limited by multiple factors. This primary care-based approach is endorsed by ASCO and other clinical guidelines. More financial and clinical support should be allocated for successful efforts against tobacco dependency.

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Heard, Bridgette, Kendall Howard, Laura M. Miller, and Pankaj Kumar. "Creation and implementation of a corporate compliance program (CCP): The Illinois CancerCare (ILCC) experience." Journal of Clinical Oncology 31, no. 31_suppl (November 1, 2013): 256. http://dx.doi.org/10.1200/jco.2013.31.31_suppl.256.

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256 Background: In 2000, Office of Inspector General (OIG) provided guidance for physician practices in the adoption of corporate compliance program (CCP). The notice provided a basic outline that would allow organizations to detect, prevent and possibly report potential fraud and abuse as it relates to federal health care payers. Insurance payers, e.g., United, Healthcare, and Humana, are also requiring organizations to institute CCP for reimbursement. As health care reform evolves there is will be a greater need for an alliance between providers and payers as each are increasingly held accountable for their actions related to ethical behavior in documentation, billing and coding, HIPAA, improper inducements, kickbacks, financial conflicts of interest, in addition to other areas. Methods: The Illinois CancerCare (ILCC) is one of the largest private oncology practice in Midwest. We implemented the components outlined by OIG by completing the following tasks: identifying and empowering a compliance officer; identifying high-risk areas; developing policies and standards for major processes that might lead to fraud, waste, or abuse; developing a training program for all physicians, NPs, and employees; creating and implementing an auditing and monitoring program; developing investigation and remediation standards; and establishing committees for oversight. Results: The entire process took 18 months to be fully functional. We have developed a plan that is completely complaint and meets all the criteria as required and our personnel have been trained. Conclusions: In future most large practices in the United States will likely be required to have a CCP. It is complicated and includes multistep processes. In the end, implementing a CCP allows organizations to show their desire to be a quality organization with internal monitors to ensure they are participating in federal health care programs using ethical standards.

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Molina, Yamile, Cindy San Miguel, Stephanie Sanz, Liliana San Miguel, Kristin Rankin, and Arden Handler. "Adapting to a Shifting Health Care Landscape: Illinois Breast and Cervical Cancer Program Lead Agencies’ Perspectives." Health Promotion Practice 20, no. 4 (May 14, 2018): 600–607. http://dx.doi.org/10.1177/1524839918776012.

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Veghte, Benjamin, Carroll Estes, and Stacy Torres. "DESIGNING STATE-BASED LTSS PROGRAMS IN CONTEXT OF UNIVERSAL FAMILY CARE AND EMANCIPATORY GERONTOLOGY." Innovation in Aging 3, Supplement_1 (November 2019): S573. http://dx.doi.org/10.1093/geroni/igz038.2121.

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Abstract This symposium will present findings from a National Academy of Social Insurance study panel on Designing State-Based Social Insurance Programs for Long-Term Services and Supports, Paid Leave, and Affordable Child Care. The risk of needing to provide or receive care is universal. Policymakers in several states are now weighing the enactment of new social insurance programs to address the risk of needing long-term services and supports. The study panel has mapped out the key design choices such states would need to consider with regard to program structure, financing, integration with Medicaid, and implementation, and the implications of these choices for elders, people with disabilities, families, providers, and states. The symposium will also present the study panel’s findings with regard to how long-term care benefits could be provided in the context of an integrated care program addressing three often interrelated caregiving risks: long-term services and supports, paid family and medical leave, and early child care and education: Universal Family Care. Finally, implications for emancipatory gerontology, including the impact of the current gaps in our care infrastructure on family caregivers and the care workforce, will be considered.

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Bobitt, Julie, and Hyojung Kang. "Characteristics of Older Veterans Enrolled in the Illinois Medical Cannabis Patient Program." Innovation in Aging 4, Supplement_1 (December 1, 2020): 477–78. http://dx.doi.org/10.1093/geroni/igaa057.1546.

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Abstract Veterans often struggle with disabling conditions such as chronic pain and post-traumatic stress disorder (PTSD) that tend to worsen as they age. Common treatments for these conditions include the use of opioids and benzodiazepines, yet these medications tend to have unwanted side effects and can even result in addiction. While cannabis use in the US has increased significantly over the past decade, research regarding the risks and benefits is mixed and a growing number of research studies have highlighted the benefits of taking cannabis for medical purposes. While previous studies have looked at cannabis use in older adults and in Veterans over 18, no research has looked at cannabis use specifically in older Veterans. We surveyed adults age 60 and over who were enrolled in the Illinois Medical Cannabis Patient Program as of September 2019. We collected demographics, reason for enrolling in the medical cannabis program, history of cannabis, opioids, and/or benzodiazepines use, and health outcomes. Of 3,768 responses, 593 were Veterans. Older Veterans in our study were predominately male (92.1%), reported using cannabis primarily for pain (80.1%), PTSD or emotional health problems (50.1%) (i.e. anxiety and depression), and reported that cannabis use has positively impacted their quality of life (89.4%), health outcomes (81.9%), pain (86%), and sleep quality (77.1%). Understanding why older Veterans use cannabis and the outcomes they experience from cannabis use can inform state and federal policy makers and enhance clinical care practices.

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Teper, Thomas H., and Stephanie S. Atkins. "Building Preservation: The University of Illinois at Urbana-Champaign’s Stacks Assessment." College & Research Libraries 64, no. 3 (May 1, 2003): 211–27. http://dx.doi.org/10.5860/crl.64.3.211.

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This article discusses the results of two collection assessments conducted at the University of Illinois at Urbana-Champaign. The library s Preservation Committee completed the first assessment and reported its results in College & Research Libraries in 1989. The second assessment was completed in 2002 and accompanies the institution’s initiative to establish the library’s first centralized preservation and conservation program. Both assessments focused on the central stacks collection, a repository collection serving the institution’s forty-two branch and departmental libraries. Although a reanalysis of the first assessment s data was impossible, the authors attempted to draw comparisons between the two assessments’ results. After thirteen years without a preservation program and without any significant facilities improvements, the results provide insight into the results of deferred collections care and facilities maintenance and offer guidance for conducting similar studies with other research library collections.

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Mikan, Sabrina Q., J. Russell Hoverman, Debra A. Patt, and Brian Turnwald. "My choices, my wishes: Advance care planning advocacy in the adult oncology population." Journal of Clinical Oncology 30, no. 34_suppl (December 1, 2012): 6. http://dx.doi.org/10.1200/jco.2012.30.34_suppl.6.

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6 Background: Working through end-of-life care (EOL) issues with our patients is one of the most challenging aspects of cancer care. Although studies of EOL care interventions that are patient-focused and result in high-quality EOL experiences are increasing, most still do not achieve an EOL experience consistent with preferences. We aimed to provide an intervention for standardized advanced care planning (ACP) documentation and education to improve quality of life (QOL) for patients (pts) with terminal cancer (TC). Methods: Pts with TC (for this study defined as stage IV cancer or metastatic disease) were evaluated retrospectively through our EHR IKnowMed (IKM) before and after an ACP documentation and an education intervention. Descriptive statistics were used to identify and measure utilization of ACP introduction and charting as well as completion of advance directive documentation. Within IKM there are discrete fields for EOL data including ACP discussion, ACP facilitation, documentation of ADs. Education on tool documentation occurred in early 2012. Our ACP program was launched in March 2012. This included an ACP office visit conducted by a practitioner with ACP training, standardized education literature on EOL and ACP, launch of a website with EOL and ACP educational material, recording of ACP documents and documentation of hospice utilization and ACP preferences within our EHR. Results: Baseline characteristics and improvements in ACP introduction, charting, and AD documentation that occurred during our documentation and intervention process can be seen in the Table. Conclusions: Implementation of a standardized ACP program improves utilization and documentation of ACP planning, and documentation of ADs. These interventions improve QOL and health literacy for patients with TC. By incorporating these strategies with definable metrics, strategic intervention can be measured and reported. Further study of the relationships between ACP documentation and patient outcomes is necessary for comprehensive oncology care. [Table: see text]

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Rabrenovich, Violeta, Ronald Loo, and Kirk Tamaddon. "Improving quality of prostate cancer care in an integrated care delivery system." Journal of Clinical Oncology 32, no. 30_suppl (October 20, 2014): 147. http://dx.doi.org/10.1200/jco.2014.32.30_suppl.147.

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147 Background: Kaiser Permanente (KP) is an integrated care delivery system that provides clinical services to over 9 million members in nine states and the District of Columbia with the goal of providing high-quality and affordable health care to our patients. Over the last decade, the rapid adoption of prostate cancer (Pca) screening practice and technology have resulted in increased detection of Pca and helped identify opportunities for care improvement. KP initiated improvements of continuum of services provided to Pca patients. Methods: Transforming the care provided to Pca patients evolved into the first population-based cancer program that manages the entire continuum of care by taking advantage of our integrated health delivery system. Major accomplishments include appropriate Pca screening to prevent over-diagnosis (Prostate Cancer Screening), improved patient safety and claims reduction to prevent missed abnormal cancer screening (PSA Safety Net), comparative effectiveness of cancer treatment choices to improve quality, and benchmark outcomes in efficiency and clinical quality utilizing a new technology (Robotic Surgery). In addition, the program has achieved superior outcomes and value through innovative chemotherapy management for advanced disease (Lupron Management). Evidence-based medicine, research, analytics and continuous quality improvementare cornerstones of the program, while the pinnacle is our patients, who receive informed, shared decision making and equitable unbiased care. Results: We strongly believe that measures of how well our patients are living with Pca are as important as the cancer-specific survival measures; because of this, we established a prospective registry to measure quality of life for every newly diagnosed patient and stratified by all treatment types. This practice is being disseminated across the Program. Conclusions: By systematically stratifying this diverse population, we have been able to achieve efficient reliable care, and spread each successful process to other regions through collaboration with KP’s Interregional Chiefs of Urology.

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Fehler-Cabral, Giannina, Rebecca Campbell, and Debra Patterson. "Adult Sexual Assault Survivors’ Experiences With Sexual Assault Nurse Examiners (SANEs)." Journal of Interpersonal Violence 26, no. 18 (May 20, 2011): 3618–39. http://dx.doi.org/10.1177/0886260511403761.

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Sexual assault survivors often feel traumatized by the care received in traditional hospital emergency departments. To address these problems, Sexual Assault Nurse Examiner (SANE) programs were created to provide comprehensive medical care, crisis intervention, and forensic services. However, there is limited research on the actual experiences and emotional impact of sexual assault survivors who seek treatment from SANEs. This qualitative study examined twenty rape survivors’ experiences with forensic nurse examiners of a Midwestern SANE program. Findings suggest that SANEs provided survivors with care and compassion, clear explanations, and choices. Taken together, these positive experiences were perceived as “humanizing”. However, some survivors perceived forensic nurses as hurtful when they were not provided with choices, explanation, and/or acted cold and distant. Implications for future research on SANE care and practice are discussed.

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Mellon, Hugh. "Charter Rights and Public Policy Choices: The Supreme Court and Public Finance." Constitutional Forum / Forum constitutionnel 15, no. 1, 2 & 3 (July 24, 2011): 2006. http://dx.doi.org/10.21991/c94h3h.

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Over the past two decades there have been numerous highly charged court cases involving claims that government program offerings and public spending fail to satisfy guarantees entrenched in the Canadian Charter of Rights and Freedoms.1 Calls for enhanced appeal mechanism in refugee determination,2 provincial health care coverage of hospital translation services for the deaf,3 equal leave provisions4 for both adoptive and birth parents, government coverage of autism treatment regimes,5 and access to health care provision rather than access to a waiting list6 all illustrate the intersection of the Charter with the allocation of the public purse.

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Lattimore, Diana, Sara Wilcox, Ruth Saunders, Saarah Griffin, Elizabeth Fallon, Steven Hooker, and J. Larry Durstine. "Self-Reported Barriers of Middle-Aged and Older Adults Entering a Home-Based Physical Activity Program." Californian Journal of Health Promotion 9, no. 2 (December 1, 2011): 15–28. http://dx.doi.org/10.32398/cjhp.v9i2.1433.

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The purpose of this study was to assess barriers experienced by mid-older adults upon entering a homebased, telephone-delivered physical activity (PA) program and examine differences in barriers for subgroups. Methods: Three hundred eighty four participants recruited from Tennessee, California, and Illinois for the Active Choices program, which was part of Active for Life®, completed one face-to-face counseling session and received follow-up telephone counseling. Barriers were analyzed qualitatively and quantitatively for subgroups of mid-older adults. Results: Personal, social, and environmental themes emerged as barriers. Lack of motivation was most salient for men while health barriers were more prominent for women; however, no significant differences were found between men and women. Both whites and African Americans reported lack of motivation as the most frequent barrier to PA. Health and weather barriers were more prominent for the oldest group of older adults. Few differences were reported by PA or weight status. Conclusions: In a large sample of mid-older adults varying in age, race, gender, and health status, multiple barriers to PA were reported. Differences across subgroups may have implications for future PA interventions.

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McMorris, Tressa, Gary Sweet, Christopher J. Sullivan, Nicole B. Washington, and Nancy Brahm. "A design and focus group evaluation of dietary choices tools for an underserved population." Mental Health Clinician 6, no. 2 (March 1, 2016): 101–8. http://dx.doi.org/10.9740/mhc.2016.03.101.

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Abstract Introduction: Our objective was to develop and evaluate dietary teaching tools for a select population diagnosed with a severe mental illness and limited financial ability. Patients with severe mental illnesses face many challenges, including common health comorbidities of diabetes, high blood pressure, high cholesterol, and obesity. Cognitive deficits may limit educational programming; financial resources can affect access to a healthy diet. The Integrated Multidisciplinary Program of Assertive Community Treatment (IMPACT) program, a university-based program, provides individualized services to this population. One focus is healthy nutritional choices. Methods: In Phase One, a clinical pharmacist and a first-year pharmacy resident created visual aids. These cards were given to health care providers (HCPs) to be used with IMPACT members. HCPs were asked to participate in a focus group and provide feedback. Phase Two: Based on specific focus group feedback, additional resources were created to address identified nutritional needs. Results: Phase One: Ten cards were created and distributed to the HCPs. A focus group was conducted. HCPs reported the cards were useful in opening dietary choices dialogues and were able to give more specific information on alternative choices. Phase Two: From focus group feedback, specific cards for disease states, calorie guidelines, and budget limitations were developed. HCPs immediately utilized them. Discussion: This pilot project was used to design and create educational cards to facilitate discussions on healthy or healthier dietary choices. Feedback from the HCPs participating in the focus group was positive, and they were enthusiastic about both sets of cards, particularly those pertaining to budget choices.

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Jacobson, Diana, and Bernadette Mazurek Melnyk. "A Primary Care Healthy Choices Intervention Program for Overweight and Obese School-Age Children and Their Parents." Journal of Pediatric Health Care 26, no. 2 (March 2012): 126–38. http://dx.doi.org/10.1016/j.pedhc.2010.07.004.

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Jacobson, Diana. "A Primary Care Healthy Choices Intervention Program for Overweight and Obese School-age Children and Their Parents." Journal of Pediatric Health Care 25, no. 5 (September 2011): e22. http://dx.doi.org/10.1016/j.pedhc.2011.06.012.

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Yang, Jingkun, Surbhi Singhal, Yingjie Weng, Jason P. Bentley, Neel Chari, Teresa Liu, Karina Delgado-Carrasco, Neera Ahuja, Ronald Witteles, and Andre Kumar. "Timing and Predictors of Subspecialty Career Choice Among Internal Medicine Residents: A Retrospective Cohort Study." Journal of Graduate Medical Education 12, no. 2 (April 1, 2020): 212–16. http://dx.doi.org/10.4300/jgme-d-19-00556.1.

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ABSTRACT Background Internal medicine residents face numerous career options after residency training. Little is known about when residents make their final career choice. Objective We assessed the timing and predictive factors of final career choices among internal medicine residents at graduation, including demographics, pre-residency career preferences, and rotation scheduling. Methods We conducted a retrospective study of graduates of an academic internal medicine residency program from 2014 to 2017. Main measures included demographics, rotation schedules, and self-reported career choices for residents at 5 time points: recruitment day, immediately after Match Day, end of postgraduate year 1 (PGY-1), end of PGY-2, and at graduation. Results Of the 138 residents eligible for the study, 5 were excluded based on participation in a fast-track program for an Accreditation Council for Graduate Medical Education subspecialty fellowship. Among the remaining 133 residents, 48 (36%) pursued general internal medicine fields and 78 (59%) pursued fellowship training. Career choices from recruitment day, Match Day, and PGY-1 were only weakly predictive of the career choice. Many choices demonstrated low concordance throughout training, and general medicine fields (primary care, hospital medicine) were frequently not decided until after PGY-2. Early clinical exposure to subspecialty rotations did not predict final career choice. Conclusions Early career choices before and during residency training may have low predictability toward final career choices upon graduation in internal medicine. These choices may continue to have low predictability beyond PGY-2 for many specialties. Early clinical exposure may not predict final career choice for subspecialties.

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Xiang, Xiaoling, Randall Owen, F. L. Fredrik G. Langi, Kiyoshi Yamaki, Dale Mitchell, Tamar Heller, Amol Karmarkar, Dustin French, and Neil Jordan. "Impacts of an Integrated Medicaid Managed Care Program for Adults with Behavioral Health Conditions: The Experience of Illinois." Administration and Policy in Mental Health and Mental Health Services Research 46, no. 1 (August 31, 2018): 44–53. http://dx.doi.org/10.1007/s10488-018-0892-8.

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Leverette, John, Albert Massabki, and Heather Peterson. "Factors Affecting Medical Students' Selection of Canadian Psychiatric Residency Programs: Part II—Some Contemporary Issues." Canadian Journal of Psychiatry 41, no. 9 (November 1996): 582–86. http://dx.doi.org/10.1177/070674379604100907.

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Objective: The presence of a national cohort of trainees entering psychiatric residency allowed an assessment of contemporary factors influencing their particular program choices. Factors of specific interest included the effect on program choice of relationships with significant others and government attitudes to fiscal restraint, mental health care reform, and licensure. Method: A self-administered questionnaire was sent to 110 trainees identified in the 16 Canadian university departments of psychiatry who began training in July 1994. Results: While a committed relationship was a primary determinant of program choice, government policies attempting to influence patterns of care had little effect. Conclusion: A strong commitment to undergraduate teaching will improve the attractiveness of psychiatry as a career. This must include exposure of students to teachers who mentor practice patterns attuned to provincial mental health reforms, since government initiatives alone, developed to promote desired transitions in psychiatric care, will not influence training program choice.

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Wang, Chen Y., Melissa L. Palma, Christine Haley, Jeff Watts, and Keiki Hinami. "Rapid Creation of a Multiagency Alternate Care Site for COVID-19– Positive Individuals Experiencing Homelessness." American Journal of Public Health 111, no. 7 (July 2021): 1227–30. http://dx.doi.org/10.2105/ajph.2021.306286.

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Cook County Health partnered with the Chicago Departments of Public Health and Family & Support Services and several dozen community-based organizations to rapidly establish a temporary medical respite shelter during the spring 2020 COVID-19 peak for individuals experiencing homelessness in Chicago and Cook County, Illinois. This program provided low-barrier isolation housing to medically complex adults until their safe return to congregate settings. We describe strategies used by the health care agency, which is not a Health Resource and Services Administration Health Care for the Homeless grantee, to provide medical services and care coordination.

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Clemency, Brian, Christian Martin-Gill, Nicole Rall, Dipesh Patel, and Jeffery Myers. "US Emergency Medical Services Fellows." Prehospital and Disaster Medicine 33, no. 3 (April 18, 2018): 339–41. http://dx.doi.org/10.1017/s1049023x18000249.

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AbstractIntroductionThe 2015-2016 academic year was the fourth year since the Accreditation Council for Graduate Medical Education (ACGME; Chicago, Illinois USA) accredited Emergency Medical Services (EMS) fellowships, and the first year an in-training examination was given. Soon, ACGME-accredited fellowship education will be the sole path to EMS board certification when the practice pathway closes after 2019. This project aimed to describe the current class of EMS fellows at ACGME-accredited programs and their current educational opportunities to better understand current and future needs in EMS fellowship education.MethodsThis was a cross-sectional survey of EMS fellows in ACGME-accredited programs in conjunction with the first EMS In-Training Examination (EMSITE) between April and June 2016. Fellows completed a 14-question survey composed of multiple-choice and free-response questions. Basic frequency statistics were performed on their responses.ResultsFifty fellows from 35 ACGME-accredited programs completed the survey. The response rate was 100%. Forty-eight (96%) fellows reported previous training in emergency medicine. Twenty (40%) were undergoing fellowship training at the same institution as their prior residency training. Twenty-five (50%) fellows performed direct patient care aboard a helicopter during their fellowship. Thirty-three (66%) fellows had a dedicated physician response vehicle for fellows. All fellows reported using the National Association of EMS Physicians (NAEMSP; Overland Park, Kansas USA) textbooks as their primary reference. Fellows felt most prepared for the Clinical Aspects questions and least prepared for Quality Management and Research questions on the board exam.ConclusionThese data provide insight into the characteristics of EMS fellows in ACGME-accredited programs.ClemencyB, Martin-GillC, RallN, PatelD, MyersJ. US Emergency Medical Services fellows. Prehosp Disaster Med. 2018;33(3):339–341.

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Fournier, Gary M., and Cheryl Henderson. "Incentives and Physician Specialty Choice: A Case Study of Florida's Program in Medical Sciences." INQUIRY: The Journal of Health Care Organization, Provision, and Financing 42, no. 2 (May 2005): 160–70. http://dx.doi.org/10.5034/inquiryjrnl_42.2.160.

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The growing shortage of primary care physicians in medically underserved areas of the nation led medical schools and policymakers years ago to design and fund numerous innovative medical education programs to foster the development of a more balanced physician workforce. Florida's Program in Medical Sciences (PIMS) was an example of one such initiative that was established in fall 1971 at Florida State University (FSU). A precursor of the present-day FSU College of Medicine, this program was created specifically to address the growing need for primary care physicians in rural areas of northwest Florida. The results of empirical tests on the career choices of PIMS graduates in the first 20 years provide weak evidence that the program was more effective than the existing channels of medical education in producing additional primary care physicians to rural Florida counties.

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Howard, Kendall, Bridgette Heard, Pankaj Kumar, and Laura M. Miller. "Implementation of QOPI at Illinois CancerCare, P.C. (ILCC)." Journal of Clinical Oncology 31, no. 31_suppl (November 1, 2013): 174. http://dx.doi.org/10.1200/jco.2013.31.31_suppl.174.

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174 Background: ASCO’s Quality Oncology Practice Initiative (QOPI) is a practice based quality improvement program based on retrospective chart reviews. Data collection is performed twice a year. If scores meet a specified level, a practice may apply for certification. In order to achieve certification, a physician practice must meet minimum threshold scores in five areas including: Core, Symptom/Toxicity, Care at End of Life, Breast Cancer, Colon/Rectal Cancer and Non-Small Cell Lung Cancer. A QOPI on-site review is conducted after application. Once the application has been approved, the on-site review includes an audit of chemotherapy preparation and administration, patient education, treatment planning and the review of applicable policies. If acceptable, a 3 year certification is awarded to the practice. Methods: ILCC began QOPI participation in Fall 2011. For the first round, the scores were lower than the required minimum threshold certification score level requirements. The certification areas with lower than desirable scores included: Pain Score Assessed, Emotional Well Being Assessed and Colonoscopy within specified time frame. To improve scores, a committee was formed to identify improvements. Improvements included revising physician templates to include new areas and language. Physicians were also given the appropriate verbiage for assessing a patient’s Emotional Well Being, and employees also were engaged in our improvement efforts by addressing areas that needed to be asked in the first and second visits only. Results: All selected measures show improvement from Fall of 2011 to Spring of 2013. Pain addressed appropriately increased 59% (26% to 80%); patient emotional well being assessed increased 32% (19% to 51%), colonoscopy before or within 6 months of curative colorectal resection improved 35% (50%-86%). Our total certification score went from 72.05% to 87.99%, a 15% improvement. We applied for certification and became a QOPI certified practice in fall of 2012. Conclusions: QOPI is an effective program for evidence based quality improvement within oncology practices.

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Taylor, Donald H., Marion Danis, S. Yousuf Zafar, Lynn J. Howie, Gregory P. Samsa, Steven P. Wolf, and Amy P. Abernethy. "There Is a Mismatch Between the Medicare Benefit Package and the Preferences of Patients With Cancer and Their Caregivers." Journal of Clinical Oncology 32, no. 28 (October 1, 2014): 3163–68. http://dx.doi.org/10.1200/jco.2013.54.2605.

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Purpose To identify insured services that are most important to Medicare beneficiaries with cancer and their family caregivers when coverage is limited. Methods A total of 440 participants (patients, n = 246; caregivers, n = 194) were enrolled onto the CHAT (Choosing Health Plans All Together) study from August 2010 to March 2013. The exercise elicited preferences about what benefits Medicare should cover for patients with cancer in their last 6 months of life. Facilitated sessions lasted 2.5 hours, included 8 to 10 participants, and focused on choices about Medicare health benefits within the context of a resource-constrained environment. Results Six of 15 benefit categories were selected by > 80% of participants: cancer care, prescription drugs, primary care, home care, palliative care, and nursing home coverage. Only 12% of participants chose the maximum level of cancer benefits, a level of care commonly financed in the Medicare program. Between 40% and 50% of participants chose benefits not currently covered by Medicare: unrestricted cash, concurrent palliative care, and home-based long-term care. Nearly one in five participants picked some level of each of these three benefit categories and allocated on average 30% of their resources toward them. Conclusion The mismatch between covered benefits and participant preferences shows that addressing quality of life and the financial burden of care is a priority for a substantial subset of patients with cancer in the Medicare program. Patient and caregiver preferences can be elicited, and the choices they express could suggest potential for Medicare benefit package reform and flexibility.

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Thornton, Michele, Lindsey Leininger, and Elizabeth Calhoun. "An Analysis of Community-Based Health Workforce Training Efficacy: Evidence From the Affordable Care Act Insurance Navigators in Illinois." Pedagogy in Health Promotion 6, no. 4 (August 20, 2019): 281–90. http://dx.doi.org/10.1177/2373379919866216.

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Objectives. A community-based training with core competencies in health insurance, health care resources, and outreach for over 1,700 Affordable Care Act navigators in Illinois from 2013 to 2014 was designed, delivered, and evaluated by an academic–community partnership with expertise in health care, social services, health policy, and community outreach. Methods. Pre- and posttraining scores on a knowledge-based certification exam were linked to navigators’ baseline sociodemographic characteristic. Additionally, self-reported training evaluation and posttraining support were summarized from an online follow-up survey of the workforce. Results. Although the material was initially unfamiliar and the population heterogeneous, the training program brought all identified subgroups from a below passing mean score (71%) on the pretest up to above proficiency (80%) in a posttest assessment—suggesting a highly accessible training program across navigator sociodemographic groups. Navigators reported additional training on Medicaid and marketplace structure and eligibility to be very important. Conclusions. Supplementing or replacing diminishing federal funding for consumer outreach workforce training and support at the state or community level was found to be an important priority that can increase competencies in a diverse population. Findings also indicated that the inclusion of ongoing wrap-around resources remain in high demand among navigators in the complex, ever-changing health care landscape in the United States.

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Stockman, Kristin D., and Karen S. Budd. "Directions for Intervention with Adolescent Mothers in Substitute Care." Families in Society: The Journal of Contemporary Social Services 78, no. 6 (December 1997): 617–23. http://dx.doi.org/10.1606/1044-3894.3392.

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The authors present the findings of a parent-training survey conducted with service providers in 28 agencies across illinois that serve teen mothers who are wards of the state During structured interviews, providers reported on parent-training topics, methods of delivery, engagement strategies, assessment, and program-evaluation procedures used with adolescent mothers in their programs. Service providers identified five priority intervention topics: teen-parent concerns (i.e., self-esteem), basic caregiving routines, child health/medical needs, child emotional needs, and discipline. The parent-training methods identified by providers as most effective were informal modeling. didactic classes, home visiting, peer-support groups, and mentoring. Engagement strategies rated most effective with adolescent mothers were provision of food, transportation, and baby-sitting during sessions. Few agencies reported using formal assessment or evaluation methods, despite providers' acknowledgment of the need for these resources. implications of the survey findings for intervention planning are discussed.

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Argamon, Shlomo Engelson. "Register in computational language research." Register Studies 1, no. 1 (April 26, 2019): 100–135. http://dx.doi.org/10.1075/rs.18015.arg.

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Abstract Shlomo Argamon is Professor of Computer Science and Director of the Master of Data Science Program at the Illinois Institute of Technology (USA). In this article, he reflects on the current and potential relationship between register and the field of computational linguistics. He applies his expertise in computational linguistics and machine learning to a variety of problems in natural language processing. These include stylistic variation, forensic linguistics, authorship attribution, and biomedical informatics. He is particularly interested in the linguistic structures used by speakers and writers, including linguistic choices that are influenced by social variables such as age, gender, and register, as well as linguistic choices that are unique or distinctive to the style of individual authors. Argamon has been a pioneer in computational linguistics and NLP research in his efforts to account for and explore register variation. His computational linguistic research on register draws inspiration from Systemic Functional Linguistics, Biber’s multi-dimensional approach to register variation, as well as his own extensive experience accounting for variation within and across text types and authors. Argamon has applied computational methods to text classification and description across registers – including blogs, academic disciplines, and news writing – as well as the interaction between register and other social variables, such as age and gender. His cutting-edge research in these areas is certain to have a lasting impact on the future of computational linguistics and NLP.

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Mukherjee, Shubhra. "Transition to Adulthood in Spina Bifida: Changing Roles and Expectations." Scientific World JOURNAL 7 (2007): 1890–95. http://dx.doi.org/10.1100/tsw.2007.179.

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Survival to adulthood for people with Spina Bifida now exceeds 85% due to improvements in medical and surgical management. Rates remain lower than expected for community participation, healthy lifestyle choices, employment and independent living. The importance of transition programming to help adolescents with disabilities prepare for adult life roles is now understood. Literature currently is mainly conceptual or descriptive, but informs the process of developing transition program models. The need for competent and effective adult care providers is discussed. Both the transition to adulthood and the transfer of care to adult care clinics are important and distinct components of spina bifida lifespan care.

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Hepdurgun, C., H. Elbi, Ş. Pırıldar, F. L. Saygılı, M. O. Ünalır, Ö. Can, G. Rudarlı Nalçakan, E. Sezer, and S. Seçkiner. "Healthy living and smart choices - A project for developing a web-based Turkish obesity treatment program." European Psychiatry 33, S1 (March 2016): S390. http://dx.doi.org/10.1016/j.eurpsy.2016.01.1404.

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IntroductionObesity is a major public health problem in the world and getting obesity under control is one of the most important goals of the World Health Organization. Cognitive behavioral therapy techniques are helpful for adjusting lifestyle to stay at a healthy weight range. Success of web-based programs which designed with evidence-based behavioral strategies has been proven with different studies. However, a web-based program suitable for Turkish culture and eating habits is still missing.ObjectivesPrimary objective of this project is to develop and test a web-based obesity behavioral treatment program in collaboration with experienced academicians from different disciplines.AimsThe aim of this project is to develop a program which will help Turkish primary care physicians in treating and tracking obesity patients.MethodThe web-based program will include a 12-week-long core behavioral program. Participants will be asked to record their daily dietary intakes and automatic feedback will be given by the system. Weekly behavioral training videos will be available during the core program. As participants watch the videos and record their daily intakes, they will get instant awards such as virtual diet-coin which they will be able to spend for gifts such as low calorie recipes. One hundred obese patients (with body mass index greater than 30 kg/m2) will be recruited to evaluate the effectiveness of the program. The changes in their blood pressures, body weights and waist circumferences will be recorded.Disclosure of interestThe authors have not supplied their declaration of competing interest.

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Southard, Karen, and Suzie Kaye. "Utilizing Implementation Science to Accelerate Adoption of a Program to Prevent Avoidable Transfers." Innovation in Aging 4, Supplement_1 (December 1, 2020): 761. http://dx.doi.org/10.1093/geroni/igaa057.2745.

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Abstract The research team combined their long-term care management experience with feedback from the 16 pilot nursing homes and several hundred workshop and webinar participants’ reports to identify the most effective strategies for implementation of the Guide and smaller Trifold. The learning framework employed to develop these Best Practices was directed to two distinct audiences 1) the licensed staff of the facility and 2) the residents of the facilities and their families. Critical elements identified included: when and how to distribute the Guide; how the Guide can be used to support difficult conversations e.g. about end of life choices; and effective and efficient ways to train staff. The framework for discussion during the symposium will be achievement of organizational readiness and the relevance of the four E’s of implementation science as it applies to long term care organizations.

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Arnold, A. N., G. Caldito, C. M. Rinaudo, Q. D. Chu, B. D. Li, J. M. Eggerstedt, and R. H. Kim. "Impact of a Program of Early Clinical Exposure on Medical Students' Residency Choices of Primary Care and Surgical Fields." Journal of Surgical Research 165, no. 2 (February 2011): 173. http://dx.doi.org/10.1016/j.jss.2010.11.829.

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Berry, Anita D., Dawn Lee Garzon, Patricia Mack, Katelyn Z. Kanwischer, and Deborah Guzzo Beck. "Implementing an Early Childhood Developmental Screening and Surveillance Program in Primary Care Settings: Lessons Learned From a Project in Illinois." Journal of Pediatric Health Care 28, no. 6 (November 2014): 516–25. http://dx.doi.org/10.1016/j.pedhc.2014.04.008.

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Lan, Xiuyan, Huimin Xiao, and Ying Chen. "Psychosocial Reactions to Relocation to Nursing Homes in Chinese Older Adults." Innovation in Aging 4, Supplement_1 (December 1, 2020): 385. http://dx.doi.org/10.1093/geroni/igaa057.1240.

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Abstract This study aimed to elicit psychosocial reactions to relocation to nursing homes from older adults’ perspectives with a qualitative interview design. Narratives from 23 Chinese nursing home residents from Fuzhou, China in a life review program were recorded, transcribed into sentences, and analyzed with the qualitative content analysis. It revealed five stages of psychosocial reactions to relocation to nursing homes as fear, struggle, compromise, acceptance, and contribution. The first stage resulted from negative labels attached to nursing homes, disconnection to the society, difficulties in establishing new relationships, and being abandoned by their families. The second stage described the behaviors of struggle: complain about family members, think of going back home, pray to have a change, and take action to leave. The third stage described the keys to compromise: choices between maintaining the harmony in family relation and companionship of relatives, choices between professional care and family care, and choices between costs and effects of family care and nursing home care. The fourth stage described how they accept nursing home life: accept the life and yet with worries, affirm benefits of living in nursing homes, and embrace the nursing home life. The last stage resulted from sense of ownership and giving full play to self-worth. This study generated new insights into the knowledge on psychosocial reactions to relocation to nursing homes and provided both family members and nursing home staff with a direction for how to promote a smoother relocation process.

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Singh, Pramil N., Jessica Steinbach, Anna Nelson, Wendy Shih, Mary D’Avila, Selene Castilla, Michael Jordan, William J. McCarthy, David Hayes-Bautista, and Hector Flores. "Incorporating an Increase in Plant-Based Food Choices into a Model of Culturally Responsive Care for Hispanic/Latino Children and Adults Who Are Overweight/Obese." International Journal of Environmental Research and Public Health 17, no. 13 (July 6, 2020): 4849. http://dx.doi.org/10.3390/ijerph17134849.

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Introduction: The national rate of obesity in US Hispanic/Latinos exceeds all other major ethnic subgroups and represents an important health disparity. Plant-based diet interventions that emphasize whole plant foods with minimal processing and less refined grains and sugar have shown have shown great promise in control of obesity, but there is a paucity of data translating this treatment effect to disparate populations. The objective of our study was to evaluate the efficacy of the Healthy Eating Lifestyle Program (HELP) for accomplishing weight management in a hospital-based, family centered, culturally tailored, plant-based diet intervention for Hispanic/Latino children who were overweight or obese. Methods: Our mixed methods evaluation included: (1) A one arm study to measure changes in body mass index (BMI) from pre- to post-intervention, and (2) A stakeholder analysis of the program staff. Results: For children ages 5–12 years who were overweight/obese, we found no evidence of excess weight gain evidenced by BMI Z scores (Zpost-pre = −0.02, p = 0.11). Among the parent/guardians who were overweight or obese, we found a decrease in BMI that was stronger in men (BMI post-pre = −0.75 kg/m2, p = 0.01) than in women (BMI post-pre = −0.12 kg/m2, p = 0.30). A program strength was the cultural tailoring of the plant-based diet choices. Conclusions: The evaluation raises the possibility that incorporating intervention components of HELP (plant-based food choices, family-based, cultural tailoring) into pediatric weight management can improve the standard of care.

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Keyserllng, Thomas C., Alice S. Ammerman, Carmen D. Samuel-Hodge, Allyson F. Ingram, Anne H. Skelly, Tom A. Elasy, Larry F. Johnston, Anne S. Cole, and Carlos F. Henriquez-Rolddn. "A Diabetes Management Program for African American Women With Type 2 Diabetes." Diabetes Educator 26, no. 5 (September 2000): 796–805. http://dx.doi.org/10.1177/014572170002600508.

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PURPOSE this paper describes a clinic and community-based diabetes intervention program designed to improve dietary, physical activity, and self-care behaviors of older African American women with type 2 diabetes. It also describes the study to evaluate this program and baseline characteristics of participants. METHODS The New Leaf... Choices for Healthy Living With Diabetes program consists of 4 clinic-based health counselor visits, a community intervention with 12 monthly phone calls from peer counselors, and 3 group sessions. A randomized, controlled trial to evaluate the effectiveness of this intervention is described. RESULTS Seventeen focus groups of African American women were used to assessed the cultural relevance/acceptability of the intervention and measurement instruments. For the randomized trial, 200 African American women with type 2 diabetes were recruited from 7 practices in central North Carolina. Mean age was 59, mean diabetes duration was 10 years, and participants were markedly overweight and physically inactive. CONCLUSIONS Participants found this program to be culturally relevant and acceptable. Its effects on diet, physical activity, and self-care behaviors will be assessed in a randomized trial.

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Journal articles on the topic 'Choices for Care in Illinois (Program)'

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