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APHA Annual Meeting 2003, Chiropractic Health Care Section Scheduled Events:
Please note that All Chiropractic Health Care (CHC) sessions, including business meetings and scientific sessions, will be in the Moscone Convention Center.



Business Meetings:

253 Chiropractic section Business meeting I: Sunday, Nov. 16, 4-5:30 p.m.
301 Chiropractic section Business meeting II: Monday, Nov. 17, 6:30-8 a.m.


APHA-CHC Scientific Sessions (Presentation details follow this abbreviated schedule):

3018 Integrating CAM curricula into medical education: An intersectional joint session. (CHC session joint-sponsored with CAM SPIG)
Monday, Nov. 17, 8:30-10 a.m. (moderator Monica Smith)

3109 Prevention in Chiropractic. CHC session.
Monday, Nov. 17, 10:30 a.m.-12 noon. (moderator John Pammer)

3176 Chiropractic Professional Issues: Populations, Conditions, Settings. CHC session.
Monday, Nov. 17, 12:30-2 p.m. (moderator Rand Baird)

3263 Healthy Aging: Cross-Disciplinary Perspectives.
(CHC session joint-sponsored with Public Health Nursing and Gerontological Health sections)
Monday, Nov. 17, 2:30-4 p.m. (moderator Lisa Killinger)

Other Scientific Sessions to note:

4087 Ambulatory Care Topics (Joint-sponsored by Oral Health, Vision Care & Chiropractic Health Care sections).
This is a Vision Care session, but includes a paper by Hawk et al.
Tuesday, Nov. 18, 2003: 8:30 a.m.-10:00 a.m.

4227 Preventive Programs in Podiatric, Chiropractic, and Vision Care Settings (Joint-sponsored by Podiatric Health, Chiropractic Health Care, and Vision Care sections).
This is a Podiatry session, but includes papers by Hurwitz et al and Hyland et al.
Tuesday, Nov. 18, 2003: 2:30 p.m. – 4 p.m.


MONDAY, NOV. 17, 2003: 8:30 a.m.-10:00 a.m.
(3018.0) Integrating CAM curricula into medical education: An intersectional joint session
Bringing Community CAM Practitioners into the Research Process: Bridging the Gap between Practice and Research. S. M. Zick, ND, MPH; R. Benn, PhD; E. Gillespie, BS. University of Michigan.

Developing a CAM Educational Infrastructure: Baccalaureate programs in the US. A. Burke, PhD,MPH,LAc; K. Aparicio, BS; K. Burrows, MPH; E. Peper. San Francisco State University.

Results are in...Students and Faculty of various health professions express their need for complementary and alternative medicine (CAM) education. D. Peoples-Lee, MS. Temple University.

Training practicing medical physicians, nurse practitioners, and physician's assistants in integrative chiropractic through distributed learning. J. M. Menke, MA,DC; L. Soloff, ND,MPH; R. B. Lutz, MD. University of Arizona.

MONDAY, NOV. 17, 2003: 10:30 a.m.-12:00 p.m.
(3109.0) Prevention in Chiropractic
Sponsor: Chiropractic Health Care
Adherence to exercise recommendations: Practice-based evaluation of chiropractic patients. J. K. Hyland, DC, MPH; C. Hawk, DC, PhD; K. J. Sherman, PhD, MPH; A. McTiernan, MD, PhD

Systems analysis models of exercise promotion in chiropractic practice. J. K. Hyland, DC, MPH

Proactivhealth: A Resource for the Integration of Primary Preventive Health Care Services into the Chiropractic Practice. J. M. Whedon, DC
Chiropractors’ amenability to using multidisciplinary preventive guidelines in clinical practice. M. Smith, DC, PhD; E. C. Morschhauser, DC

Use of guidelines on nutrition and smoking cessation counseling in chiropractic practice. M. Smith, DC, PhD; L. Carber, BS
MONDAY, NOV. 17, 2003: 12:30 p.m.-2:00 p.m.
(3176.0) Chiropractic Professional Issues: Populations, Conditions, Settings
Sponsor: Chiropractic Health Care
Adverse reactions to chiropractic treatment and their effects on satisfaction and clinical outcomes among patients enrolled in the UCLA Neck Pain Study. E. L. Hurwitz, DC, PhD; H. Morgenstern, PhD; M. Vassilaki, MD, MPH; L. M. Chiang, MS

Physical activity variation by population density of place of residence: The Iowa Bone Development Study. E. Morschhauser, DC; K. F. Janz, EdD; S. M. Levy, DDS

Implementation of Chiropractic in the long term care skilled nursing facility. V. Dolan, DC; V. E. Dolan, DC

A community outreach program in a chiropractic educational setting. J. E. Black, DC, MS Ed

Healthy People 2010 Objectives: Chiropractic's Role in Meeting the Healthcare Needs of an Increasingly Aged and Diverse Society. L. Killinger, DC

MONDAY, NOV. 17, 2003: 2:30 p.m.-4:00 p.m.
(3263.0) Healthy Aging: Cross-Disciplinary Perspectives (An intersectional joint session)
Sponsor: Chiropractic Health Care [4 invited speakers]

Complex Problems, Complex Solutions.
Kathleen Jaskowiak, MSN.
Learning Objectives:
1. Recognize one cost benefit to the recipient of care, the agency and the community of providing a safe environment for providing care in the community.
2. List three new actions to use when working in a community setting that enhances their safety.
3. Discuss the impact of reimbursement issues in providing safe, timely services to elders in the community.

Summary
This area of study began in 1994. Services were being moved out of hospitals to peripheral locations, and analysis of the impact included consideration of safety issues involved in providing care in the community with home visits, issues involving mental health care availability, and with the utilization of professional office locations. Most recently, reimbursement issues have been examined given the impact on the services and protection in place at site seniors frequently visit for care.


Applying a social marketing framework to consumers' perspectives on
long-term care: What is the advantage?
Lené Levy-Storms, PhD, MPH, Randi Jones, JD, Verónica Gutierrez, MPH.
Department of Medicine, Division of Geriatrics, UCLA, 10945 Le Conte
Ave., Suite 2339, Los Angeles, CA 90095-1687, fax: 310 312 0546

The purpose of this paper is explore the advantages of applying a social marketing framework to consumers' perspectives on long-term care. Much of the research on older adults' long-term care needs focus on either community-based or institutional care but not both simultaneously. To effectively design long-term care services to both, a framework that links issues with both consumer sectors would be helpful to creating services and policies that are sensitive to a broader scope of their needs as they navigate the nebulous long-term care continuum. Two distinct sets of focus groups were conducted with older African American and Hispanic women in the community and older, frail white elders residing in nursing homes. A total of six and eight focus groups were held in community-based and nursing home settings, respectively. Data were analyzed using open-coding techniques for thematic patterns and then organized within a social marketing framework. The social marketing framework includes four major domains: product, place, price and promotion. Thematic patterns within these domains revolve around interpersonal issues with both informal and formal care networks that emerge when these elders try to use their self-care behaviors to optimize their individual experiences with healthy aging. While these two groups of consumers have varied physical and mental health needs,
they share common emotional and social needs. Their voices call for equal attention to these latter needs as much as their physical and mental health needs have been considered in the design and delivery of long-term services. The implications for long-term care policy that focus on rehabilitation and optimization all aspects of consumers' needs will be discussed.

Learning objectives:

1. To explore the common needs of community-based and institutionalized elders
2. To understand how a social marketing framework allows insight into consumers' long-term care needs
3. To listen to consumers' of long-term care

Generational Partners: Developing a Culturally Appropriate Interprofessional Health Promotion Program with American Indian Elders.
Teresa M. Cochran PT, DPT, GCS, MA
Assistant Professor, Department of Physical Therapy; Co-Director, Office of Interprofessional Service and Scholarship
School of Pharmacy and Health Professions; Creighton University Medical Center, Omaha, Nebraska

This paper describes the development of a geriatric health promotion program based on needs assessment and qualitative study of health beliefs of Omaha Nation elders. The weekly interprofessional program includes physical therapy, occupational therapy, nutrition, diabetes education, pharmacy, medicine and podiatry. This presentation identifies key components to design and implementation, barriers and successful strategies. Emphasized is the innovation and importance of understanding health beliefs and behaviors of a target population, and understanding that to successfully impact profound health disparities, a comprehensive, interprofessional, sustained approach must be directed toward health promotion.

Learning Objectives: Upon completion of the session, the participant will be able to:
1. Explain the need for health care practitioners to understand and integrate health beliefs and concepts into health care provision
2. Appreciate the role of qualitative inquiry to gain insight into health beliefs in order to develop effective programs to modify health behaviors
3. Recognize the key components and successful strategies utilized in developing a interprofessional health promotion program for elders.


Chiropractic and cross-disciplinary care of our elders
Jacqueline Bougie, DC, MS
Southern California University of Health Sciences


Please note regarding Continuing Education Certification

CE credits will not be offered for the San Francisco APHA Annual meeting. Lack of participation by DC’s and the high cost of attaining approval has made offering credits for this year’s annual meeting impossible.