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Public Health Education and Health Promotion
Section Newsletter
Spring 2008

Public Health Education and Health Promotion Newsletter

Chair's Corner

Kathy Wilson

Greetings from Hotlanta!

 

    Even in the summer heat, PHEHP is continuing to move in-step with advances at APHA. First, we have added the position of treasurer to our Executive Committee. With the advent of new membership categories, the rising costs of the Annual Meeting, and the number of activities in which the Section wants to engage, the time for a treasurer has come. Mark Wilson has been appointed as interim treasurer, but it will be an elected position starting next year. Second, Communication Chair Carlos Rodriguez-Diaz and Newsletter Editor Alminda D'Agostino have instituted the first ever editorial policy for this newsletter. 

 

    By the way, those of you who were put off by the inhumane hour of our typical business meetings will be encouraged to know that we will not meet at 6:30 a.m. – at least not every morning. We heard you loudly and clearly!! This year we are trying new times: Sunday afternoon from 4:00 – 5:30 p.m., Monday morning 6:30 -8:00 a.m. and Tuesday evening from 6:00 – 7:30 p.m.  And as added incentive, we once again have an anonymous donor making sure we have just a little something to sustain ourselves long enough to conduct business. So I hope to see you at least at one meeting. Let me know how you like the new days and times.

 

    If you are coming to San Diego anyway, please consider getting involved in one of these low-risk, high-reward opportunities. Spend a couple hours staffing the PHEHP booth. We try to pair new staffers with experienced Section folks to reduce stress and introduce you to someone in the Section. Or, if planning parties is more your thing, volunteer to help decorate or tear-down the room for the PHEHP social – always a good time. Contact Membership Committee Chair Jennifer Boyle to volunteer for either task. Her contact information is in the Leadership section of this newsletter.  

 

    Lastly, did you vote in the PHEHP elections? I hope so. The results will be out in late summer, but the slate of candidates put together by Roberta Hollander and the Nominating Committee was impressive. For the last 85 years, the hands and hearts of committed members like them and you have made PHEHP strong. We will need you all to keep it so in the 85 years to come.

 

    Hope the rest of your summer is relaxing and recharging.

 

 

Health Education and Health Promotion Tools

Community-based Organizations May Be Eligible for Eye Health Education Awards  

Neyal J. Ammary-Risch, MPH, CHES 

ammaryn@nei.nih.gov

 

    The National Eye Institute, one of the National Institutes of Health, recognizes the importance of strengthening the capacity of community-based organizations to expand existing eye health education programs and start new ones. 

 

    The Healthy Vision Community Awards (HVCA) Program of the National Eye Institute provides up to $10,000 in seed money to nonprofit, community-based organizations to support grassroots eye health education efforts.  The National Eye Institute encourages you to help make vision a health priority in your community by applying for a 2009 award or encouraging others to apply.  Nonprofit organizations including, but not limited to, community-based organizations and groups, minority-based organizations, schools, faith-based organizations, civic and fraternal groups, and local health departments and agencies may apply.  Universities and university-affiliations, such as medical centers, are precluded from receiving an award directly, but are welcome to collaborate with community-based organizations.

 

    Proposed projects must support the vision objectives in Healthy Vision 2010, which aim to improve the eye health of the nation through prevention, early detection, treatment,and vision rehabilitation.  Projects must focus on eye health education and promotion, be innovative, and have the potential for sustainability once funding ends.

 

The 2009 funding cycle is soon approaching.  Mark your calendar with these important dates:

June 30, 2008 — Applications become available. 

August 29, 2008 — Postmark due date for receipt of application.

January 2009 — Winners are notified.

 

    To learn more about the HVCA Program and what funds can be used for, visit www.healthyvision2010.nei.nih.gov/news/hvca. 

To get additional ideas and to learn about other community-based eye health education programs in U.S. states and territories, visit the Healthy Vision Community Programs (HVCP) Database at http://community-based.shs.net/ . 

Investing in Health: Proven Health Promotion Practices for Workplaces

Christianne M. Johnson, MA, CHES

CJohnson@prevent.org

 

    Workplaces play a prominent role in almost every community across the United States and have the leverage to influence behavior changes, as the average American adult spends a significant amount of his/her lifetime at the workplace and receives health insurance from his/her employers. Workplaces that implement health promotion practices are helping to improve the lives of their employees, and also manage their health care costs, as it is often costlier to treat chronic diseases than to prevent them. While there is a strong evidence base to support the benefits of promoting health in the workplace, exactly how can employers implement healthier practices and enjoy the long-term gains associated with a healthy workforce? To address this question, Partnership for Prevention — a D.C.-based policy and public health non-profit — recently released Investing in Health: Proven Health Promotion Practices for Workplaces. The guide is intended to be a “how to” toolkit for employers on implementing healthier workplace practices related to tobacco control, cancer screening and early detection, and physical activity and nutrition.

 

    Investing in Health is specifically written for individuals tasked with establishing health benefits and health promotion activities within a workplace. The guide provides programs and strategies that take into account the varying resources of workplaces — from small to large. In other words, even smaller organizations and businesses can feasibly act upon many of the practices highlighted within the guide.

 

    Strategies from Investing in Health were specifically taken from evidence-based recommendations identified by the Task Force of Community Preventive Services and the United States Preventive Services Task Force. For more information, and to download or order a copy of the guide, please visit www.prevent.org/workplaceguide.

Partnership for Prevention® and CDC Release New Tool to Fight Chronic Disease

Alyson E. Hazen, MPH

AHazen@prevent.org

 

    Partnership for Prevention and the Centers for Disease Control and Prevention’s Division of Adult and Community Health are pleased to announce the recent publication of The Community Health Promotion Handbook: Action Guides to Improve Community Health, an evidence-based tool that bridges the gap between research and practice. Five recommendations from the Task Force on Community Preventive Services’ The Guide to Community Preventive Services: What Works to Promote Health? have been translated into guides that provide public health practitioners and others interested in health promotion with the necessary “how to” guidance to implement effective community-level strategies.

 

    In addition to detailed action steps for planning, implementing and evaluating a strategy, features in each Action Guide include:

  • An overview of the recommendation and supporting evidence.
  • Links to resources and tools for planning and implementation.
  • Tips for implementation and overcoming potential obstacles.
  • Suggested personnel, material and financial resource needs.
  • Questions and potential data sources for evaluation planning. 

    The five Action Guides that make up The Community Health Promotion Handbook cover the following topics:

 

Diabetes Management

  • Diabetes Self-Management Education (DSME): Establishing a Community-Based DSME.
  • Program for Adults with Type 2 Diabetes to Improve Glycemic Control.

Physical Activity

  • Places for Physical Activity: Facilitating Development of a Community Trail and Promoting Its Use to Increase Physical Activity Among Youth and Adults.
  • School-Based Physical Education: Working with Schools to Increase Physical Activity Among Children and Adolescents in Physical Education Classes .
  • Social Support for Physical Activity: Establishing a Community-Based Walking Group.
  • Program to Increase Physical Activity Among Youth and Adults.

Tobacco-Use Treatment

  • Health Care Provider Reminder Systems, Provider Education, and Patient Education: Working with Health Care Delivery Systems to Improve the Delivery of Tobacco-Use Treatment to Patients.

 

    The Community Health Promotion Handbook’s Action Guides can be downloaded or ordered at http://www.prevent.org/actionguides.

APHA - PHEHP News

HCWG@10 to Celebrate Its Anniversary at 2008 APHA

 

Carin Upstill

PHEHP-Health Communications Work Group

Chair, Communications Subcommittee

upstill.carin@foundationforhealthyliving.org

 

     This year, the PHEHP Health Communication Working Group (HCWG) turns 10 years old and will kick off its anniversary celebration at their annual social event being held on Sunday, Oct. 26 at 7 p.m., at the Napa Valley Grille -- a short walk from the San Diego Convention Center.  HCWG@10, the evening’s theme, will honor the group’s founding members and accomplishments, while allowing attendees to enjoy California cuisine and sunset views.  Over the past decade, HCWG has been a vital part of the health communication renaissance that has seen the field’s emerging theories and practices being used within the public health sector.  HCWG members and activities have contributed to the discussion of health communication research and programs over the last 10 APHA annual meetings.  The group was instrumental in creating the Coalition for Health Communication, with divisions of the International Communication Association and the National Communication Association.   HCWG has provided a home to public health communications researchers, practitioners and students, non-profit organizations, government agencies, and other local and national public health institutions.

 

    Other HCWG activities planned for the APHA Annual Meeting include: two solicited sessions; 1) The Best of Public Health Communication: 10 Years of Accomplishments, Opportunities and Challenges; and 2) International Models for Strategic Health Communications, along with 10 scientific panel discussions and poster sessions, and the popular 5th Annual APHA Film and Media Festival, which will be screening a short video profile of the HCWG founding members.  For more information, go to: www.healthcommunication.net/APHA/APHA.html.

Join the Newly Formed Genomics Forum

Elizabeth Levy, MPH, CHES

ejk9@cdc.gov

 

    Members of the Public Health Education and Health Promotion Section are invited to join the new Genomics Forum of APHA. This Forum will be one of the first to represent a new structure within APHA that was created to address cross-cutting issues and facilitate communication across Sections and Special Primary Interest Groups (SPIGs). By joining the Genomics Forum, APHA members retain their affiliation with their Sections.

 

    Genomics – the study of genes and how they relate to each other and with the environment - is increasingly a public health issue. Expanding research and new applications of genomics in clinical and public health settings provide challenges and opportunities for public health professionals to promote equitable access to genetic services, and prevent misuse of genetic information and technology. For example, multiple government agencies are placing substantial funds into clinical applications such as pharmacogenomics (i.e. personalized medicine) without assessing this agenda from a public health perspective and its relative impact on individual rights and community health. To ensure that personalized medicine means public medicine, APHA must be at the forefront of conversations about how genomics will be used in relationship to population health in America and worldwide. This Forum will contribute to the realization of that goal.

 

    With the support of the Community Health Planning and Policy Development and Maternal and Child Health Sections, the Genomics Forum was approved as an official APHA component in November 2007. More than 130 APHA members have currently enrolled in the Genomics Forum, representing a growing, interdisciplinary group of individuals including practitioners, researchers, students and community members from state and federal governmental agencies, advocacy groups, academia and health care organizations. The Forum is committed to a diverse membership from APHA Sections, SPIGs, and Caucuses and hopes to work with the Public Health Education and Health Promotion Section and its members on issues of mutual interest.

 

    The Forum currently communicates via listserv, in regular conference calls, and through the development of a Web site. The Forum will be sponsoring several scientific sessions for the 2008 Annual Meeting and is working through its Policy, Membership and Communications, Special Projects, and Program Committees on activities in work force development, policy development, advocacy, research and other areas. Activities are based on the needs and interests of our members. All are invited to participate in one of the general membership calls and to join any of the Forum’s committees. Please visit our Web site to see a schedule of upcoming activities and to sign up for the Forum: http://www.GenomicsForum.org.

 

CONSORT and Trend Reporting Standards

Kenneth McLeroy

Editor, Framing Health Matters AJPH

KMcLeroy@srph.tamhsc.edu

 

    One of the critical issues facing consumers of scientific information, including researchers, publishers of scientific information, and the population at large is how to assure the quality of information that is reviewed, published, and distributed. In the mid-1990's, in order to improve the quality of clinical trial reporting, a group of specialists in clinical trials including statisticians, epidemiologists, and biomedical editors developed requirements for reporting randomized trials referred to as the Consolidated Statement of Reporting Trials (CONSORT). The CONSORT statement is a flow diagram and checklist of 22 items that should be reported.

 

    The CONSORT criteria have been adopted by over 150 of the major health and public health journals, as well as many of the major associations of science and medical journal editors. The original 1998 statement was revised in 2001 with additional modifications proposed for: (1) parallel-group randomized trials; (2) the reporting of harms in randomized trials; (3) cluster randomized trials; and (4) randomized trials of non-pharmacological treatments. Moreover, reporting criteria have also been proposed for Transparent Reporting of Evaluations with Non-Randomized Designs (TREND).

 

    The American Journal of Public Health (AJPH) has long supported both CONSORT and TREND criteria for appropriate research articles published in the Journal. Moreover, the Journal formally adopted the TREND statement in 2004 (AJPH,94:361-366) and the CONSORT criteria at the April, 2008, meeting of the Editors and Editorial Board. We will be publishing more information about CONSORT and TREND in future issues of the Journal.        

 

Suggested resources:

Moher, D, Schulz, KF, Altman, DG, for the Consort Group. “The Consort Statement: Revised recommendations for improving the quality of reports of parallel-group randomized trials.” The Lancet, 2001, 357:1191-1194.

 

Des Jarlais, DC, Lyles, C, Crepaz, N, and the TREND Group. “Improving the reporting quality of nonrandomized evaluations of behavioral and public health interventions: The TREND statement.” AJPH, 2004, 94:361-366.

 

Armstrong, R, Waters, E, Moore, L, Riggs, E, Cuervo, LG, Lumbiganon, P, and Hawe, P. “Improving the reporting of public health intervention research: advancing TREND and CONSORT. Journal of Public Health, 2008, 30(1):103-109.

Voices From the Field

Protect! Don't Infect!

Cheri Rufener

Cheri_Rufener@doh.state.fl.us

         

    In Orlando, Florida, the Orange County Health Department’s Office of Communications announces an exciting new public health campaign called Protect! Don’t Infect! (PDI). Despite the proven health benefits of hand washing, many people don't practice this habit as often as they should and risk contracting infectious diseases that are commonly spread through hand-to-hand contact. The goal of the PDI campaign is to minimize illness by reminding people that by following three simple healthy habits they can greatly reduce their risk of illness from a cold, the flu, infections, and life threatening diseases, The PDI message is simple and easy to follow…

      1.  Wash your hands.
      2.  Cover your mouth when you cough or sneeze.

      3.  Stay home when you’re sick.

 

    Campaign activities included the production of a 7-minute video featuring a cranky, unpleasant germ, Staph Sergeant, whose mission is to use his army of germs to “take over the world.” However, he is repeatedly foiled by PDI agents who practice the habits necessary to avoid getting and spreading germs.

    An official PDI badge, like the one in the video, is available for those who take the challenge to become a PDI Agent and promise to support the message. Everyone is encouraged to take the challenge and join the others who practice good health and hygiene techniques. The video, poster and fun activity sheets can be found at www.protectdontinfect.com. People can take the PDI Challenge and download their badge. For more information, contact the Orange County Health Department’s Office of Communications at (407) 858-

1400.

 

 

 

Advocacy Training Gives Voice and Definition to Public Health

 

Molly M. Eggleston

 

    The Pennsylvania & Ohio Public Health Training Center joined forces with Research!America to hold four public health advocacy trainings.  The series ran throughout 2007 in various locations and settings with the support and sponsorship of many partners. The sessions focused on real life communications skills and strategies to help public health professionals better communicate to decision makers the value of public health.  

 

    Anchored in research data, the workshops outlined how to use public opinion polls to reinforce and leverage the value of public health services.  They also addressed the lack of understanding of exactly what public health is.  As a result of this series, 123 Pennsylvania public health practitioners are better equipped to voice their constituents’ priorities in health research and health protection to policy makers and the media. 

 

    An additional benefit was the planning process – it cemented existing relationships and built new ones. Planning partners included the state public health association, universities, colleges, non-governmental organizations, national non-profits, community collaborations and community-based organizations.  The series offered a total of 615 contact hours of a variety of Continuing Education credits.

 

    With an overall response rate of 71 percent, 100 percent of the respondents rated the overall quality of the program as “good or excellent,” with 99 percent rating its usefulness just as highly.  Feedback included a common statement of regret that more people could not attend the series.  Planning for a follow-up training in fall of 2008 is under way.

 

    For more information on preparing public health professionals in a changing world, see www.pophtc.pitt.edu 

Cultural Competence Week, an Interdisciplinary Approach

Jamila Harris, MS, CHES

jamilah@umflint.edu

    

    The University of Michigan-Flint Initiatives for Nursing Diversity collaborated with the School of Health Professions and Studies Diversity Development Committee to host Cultural Competence Week, March 3-6, 2008.  Activities included a game, workshop, lecture and film.  BaFa BaFa -- a cultural simulation game -- immersed students into a new culture and discussion on the impact of stereotyping. Story Circle participants shared personal poignant stories about their differences.   The lecture, “Black Hospitals in America:  History, Development and Contributions” and film, “America in Black White” prompted a discussion on the impact of race on health disparities.  More than 85 percent of respondents (n = 103) somewhat to strongly agreed on five areas: 

  

·        Today’s program increased my level of understanding about cultural competency issues.

·         I feel more comfortable interacting with other cultures outside of my own, based upon the information gained from attending today’s program.

·        I have an increased awareness about some of the cultural factors that a person may use to influence their health care decision(s).

·        I feel that I would be able to use the information I learned from today’s program about different cultures in my work environment.  

·        This program increased my awareness of the contributions that various cultural groups have made in providing health services.

        

 

    

Health Education and Health Promotion News

Men United for HIV/AIDS Awareness (MUFHA)

 

Akil Campbell, MPH, CHES

AkilCampbell@MUFHA.org

 

    After completing his MPH at Florida International University in the fall of 2008, Akil Campbell went on to found Men United for HIV/AIDS Awareness in Raleigh, N.C., on Jan. 15, 2008. The organization has received its tax exempt determination letter and is now in its developmental phase with well planned program activities to meet the needs of ethnic groups infected and affected by HIV/AIDS and other STIs/STDs. Great partnerships have been formed with individuals and corporations in Research Triangle Park and Charlotte, N.C. – the list of agencies willing to partner with continues to grow.

 

    As MUFHA secures funding, planned programs will be implemented to serve HIV positive and MSMs at risk, “older adolescent” men, friends and families of HIV positive men and men at risk, and other supportive services. Future plans for MUFHA will include the provision of educational scholarships to men in pursuit of public health, community health, and other health education degrees and to participate in related workshops, conferences and seminars.

 

    The first awe-inspiring fundraising event is being planned for spring 2009 and will be held in Raleigh, N.C. An extraordinary lineup of artists and guest speakers is being cultivated; information will be shared later in the year. For additional information or to be added to MUFHA’s listserv, please send an e-mail to events@MUFHA.org.

Women In Government Mental Health Task Force Issues State Policy Recommendations

Kathryn A. Guccione, MA

kguccione@womeningovernment.org

 

    Mental illness is a serious issue that affects millions of people. According to the National Institute of Mental Health, an estimated 26.2 percent, or one in four, Americans older than 18 suffer from some sort of mental disorder. This means that approximately 60 million people in the United States have a mental illness, making mental illness the leading cause of disability in America for those ages 15 to 44.

 

    Women In Government, a national, bipartisan, nonprofit organization representing women state legislators, has issued policy recommendations on the issue of mental health, including access to and funding for mental health services, education to reduce stigma, and the value of mental health parity.

 

    The Mental Health Task Force aims to promote recovery and resiliency through access to and the integration of primary and mental health care services, eliminating stigma and enhancing the quality of life for persons with mental illness across their lifespan. The Task Force supports an innovative approach by educating policy-makers, the public, and other stakeholders, implementing evidence-based and early intervention and prevention strategies, enabling effective state policies and advocating for sound federal policies.  To read all the recommendations, please visit www.womeningovernment.org.

Companies Improving Employee Health and Controlling Costs Through Integrated Disease Management Approaches

Robin C. Rager, PhD

Sloane C. Burke, PhD, CHES

rrager@optimumhm.net

 

    In the United States, of the $2.4 trillion yearly cost of providing health care, more than three-fourths of that money is spent on treating individuals with chronic diseases and conditions.  Although the financial impact on the nation is enormous, the burden on U.S. employers is even greater, and is threatening their profitability, competitiveness in the global marketplace, and even their survival.

 

    Beyond the health care costs they must shoulder, U.S. corporations are also grappling with the effects of these chronic conditions on productivity through employee absenteeism and presenteeism – at an estimated cost of over $129 billion for employees with cardiovascular disease, $60 billion for those with arthritis, and $40 billion for those with diabetes.

 

    As indicated in the current literature, most disease management (DM) programs have demonstrated limited effectiveness in controlling cost and other outcomes. In attempts to better respond to the impact of chronic diseases and conditions among their workers, many companies have begun pursuing a more integrated approach to employee health management to obtain the desired health, financial, and quality-of-life outcomes.

 

    What’s becoming more popular among mid- to large-size employers, many of whom are self-insured, is an integrated disease management model in which the various stakeholders (insurers, health care providers, pharmaceutical companies, health promotion program providers, employers, and employees) are brought together to provide and manage employees through a comprehensive continuum of care.

 

    To be most effective, all of these stakeholders must be involved in this integrated approach, through carefully coordinated management and inter-organizational communications regarding employee health risk, disease prevention, medical care, and patient adherence and compliance. 

 

    As they try to find better ways to manage the impact of chronic diseases, employers are also realizing that it is important to address other chronic conditions that have not typically been included in DM programs, but which have substantial influences on health and productivity, such as migraines, allergies, prenatal problems, asthma, musculoskeletal conditions, sleep disorders, chronic pain, depression and anxiety.

 

    In addition, with the recognition that co-morbidities are frequently present among those who have chronic diseases and conditions, more employers are pursuing DM programs that encompass all these conditions and risk factors under one broad-scope, coordinated system.

 

    Companies that pursue a comprehensive, integrated health management approach that involves cooperation and intercommunication among the various stakeholders appear to have the greatest chance of obtaining success in terms of not only controlling health care costs, but also reducing lost productivity and improving employee quality of life.

Cross Border Public Health Preparedness for Pandemic Influenza

Rachel T. Abraham, MD, MPH

rabraham@hsc.wvu.edu

 

    On July 23, 2008, West Virginia University, Office for Public Health Practice will be hosting the 2nd Annual Cross Border Public Health Preparedness Conference. The conference will be held from 8 a.m. to 4:45 p.m. at Pylons learning Center, Robert C. Byrd Health Sciences Center at West Virginia University School of Medicine, Morgantown, West Virginia. For more information or to register please visit http://www.hsc.wvu.edu/som/cmed/ophp/CrossBorder2008.asp.

 

SOPHE 59th Annual Meeting

SOPHE NEWS

 

       SOPHE Sets It Sights on San Diego for 59th Annual Meeting

 

Sarah Leonard, BS, CHES

sleonard@sophe.org

 

    SOPHE is charting a course to San Diego for its 59th Annual Meeting at the Doubletree Hotel Mission Valley, Oct. 23-25, 2008. Designed with the discriminating health education professional in mind, this conference promises an invigorating program with an agenda featuring skill-building pre-conference workshops, titillating oral presentations and plenary sessions, lunch roundtables, and a poster session gallery all set amid the backdrop of the scenic Mission Valley district. 

 

    Make the SOPHE 59th Annual Meeting your professional development destination and enjoy the delights of San Diego, California’s second largest city -- where blue skies keep watch on 70 miles of beaches and a gentle Mediterranean climate begs for a day of everything and nothing. Bordered by Mexico, the Pacific Ocean, the Anza-Borrego Desert and the Laguna Mountains, San Diego County’s 4,200 square miles offer immense options for business and pleasure. And with the electric Gaslamp Quarter, you can move from jet lagged to jet setting in one quick taxi trip. From suave steakhouses and eclectic ethnic fare, dinner clubs to sultry jazz bars, the more than 100 restaurants intermingled with dance and drink are all situated within blocks of each other.

 

    Stay tuned to the SOPHE Web site for conference information at www.sophe.org.