Poster Session Room 1
Sleep and Risk of Cardiovascular Disease in the Native Hawaiian Population
Poster/Exhibit Session Allyson Gilles
Whereas sleep as a science has been studied for over a century in sleep laboratories, the prevalence and severity of sleep disorders in certain geographic regions have remained relatively unknown. A recent national survey of health-related risk behaviors, chronic health conditions, and use of preventive services (CDC, 2016) revealed that Native Hawaiians/Pacific Islanders reported the lowest prevalence rate of healthy sleep duration (56.1%) of all races/ethnicities and geographic locations surveyed (Lui et al., 2016). Adults who sleep fewer than seven hours a night are at an increased risk for obesity, diabetes, high blood pressure, coronary heart disease, stroke, frequent mental distress, all-cause mortality (Grandner et al., 2014; Lui et al., 2013; Gallicchio et al., 2009), as well as cognitive performance tasks, including motor vehicle operation, medical errors, and work productivity loss (Institute of Medicine of the National Academies, 2006). Statistical analyses of large scale behavioral datasets reveal that Native Hawaiians experience both an increased rate of sleep disorders, as well as cardiovascular disease risk factors when compared to individuals from other geographic regions. Bidirectional correlates of culture, genetics, education, diet/obesity, and health beliefs will be used to explain this alarming trajectory of poor health outcomes for this newly studied population.
Impact of Service Provider Stigma on HIV+ Asian American Men Who Have Sex with Men
Virtual Poster Soma Sen
Despite the fact that HIV/AIDS (H/A) incidence rates among Asian American (AA) communities, particularly among men who have sex with men (MSM), have increased dramatically over the last ten years (CDC, 2016), the testing rates in this population continues to be low. Low testing rates have been connected lack of H/A knowledge, cultural beliefs around sexuality, and HIV related stigma. However, there is a paucity of research exploring service providers’ level stigma and its impact on HIV+ AA MSM. This study addresses this gap in research. Utilizing qualitative research design and theoretical frameworks on stigma, in depth data was gathered from 20 service providers in the San Francisco Bay Area, California who work with HIV+ AA MSM. Findings suggest that service provider stigma towards AA MSM exists in all human services settings across the study area, and that such stigma is a result of ingrained personal beliefs which are impacted by broader societal perceptions. Data suggest that such stigma is increased by limited work experience, lack of H/A knowledge and training, skewed personal perceptions of the AA MSM community, and broader societal stigma. Based on the finding we suggest practice implications at the micro, mezzo, and macro levels.
Does Watching Television Affect Pain Perception?
Poster/Exhibit Session Gunar Subieta, Sarah Buck
Engaging activities that distract attention from pain is one of the most commonly used and highly endorsed strategies for controlling pain. We surveyed 248 subjects between the ages of 20-80 with 10 questions addressing hours per day spent watching television, hours of sleep, presence or absence of acute and/or chronic pain, and if their pain and mood changed during or once they had finished watching television. The majority of the subjects were between 40 and 70 years of age and 82% mentioned chronic pain. The average hours of television watched increased at one hour per decade. The majority watched television until 10PM and participants older than 40 slept an average of fewer than 6 hours a day. The majority of subjects (83%) mentioned no change in their pain or mood while watching TV. Interestingly, younger participants mentioned that their mood got worse and the only group that had an improvement in their mood were people over age 70. In conclusion, although we were not able to find any significant difference, the trends we saw in the geriatric group would warrant further research geared to this population.
High-Risk Sex, Health and Social Risks, and Opportunities for Intervention among Young Adult Multidrug-Using Women of Color
Poster/Exhibit Session Mance E. Buttram, Steven P. Kurtz
Data are drawn from women of color (N=132) completing baseline assessments that included measures of drug use, sexual behavior, and health and social risks. Participants were ages 18-39 and reported recent (past 90-day) drug use. High-risk sex was defined as condomless vaginal/anal intercourse in the context of a non-monogamous relationship or with a non-primary partner. Mean age was 24. Women were Hispanic (77%), Black (18%), and mixed race/ethnicity (5%); 61% reported high-risk sex. Women reporting high-risk sex were more likely to report substance dependence (p=.039), lifetime physical and/or sexual victimization (p=.020), and condomless group sex (p=.010), compared to others. There were no differences in protective factors of social support or satisfaction with family/friend relationships. However, compared to other women, those reporting high-risk sex were less satisfied with goal achievement (p=.001), coping with problems (p=.007), and free time (p=.031). High-risk sex is associated with several risk factors as well as dissatisfaction in areas of goal achievement, coping, and free time. Empowerment-based interventions which address these areas have been efficacious in reducing HIV risk behaviors among other populations and will likely benefit women of color as well.
When More Nutrition Information Leads to Less Healthy Eating Decisions
Poster/Exhibit Session Myla Bui, Andrea Tangari, Kelly Haws, Peggy Liu
This research investigates how provision of calories per serving information on serving size labels affects snack consumption quantity. This is particularly timely because of increasing public policy and food manufacturer interest in the effects of prominent presentation of nutrition information on consumer packaged foods (e.g., front-of-package labels; U.S. Food and Drug Administration (FDA) 2017) and because the FDA is mandating increases in the typically small stated serving sizes for many consumer packaged foods. Consistent with these issues of concern to both the FDA and food manufacturers, we focus on a deeper understanding of how consumers process and use two important pieces of information that can be presented on the fronts of packaged foods: serving size and calories per serving information. We specifically focus on changes in the quantity of food consumed based on varying the serving size and calorie information. Drawing from expectancy-disconfirmation theory, this research shows that providing calories per serving information can ironically create unintended consequences for perceptually unhealthy snacks, with consumers eating more. The authors find that this effect arises when calorie expectations are higher than the calories per serving level on a serving size label, which often occurs with current serving size labels as the stated serving size is lower than amounts typically consumed in one sitting. The authors offer managerial, public policy, and consumer welfare implications for the findings of this research.
Measuring Change in HIV Screening Behavior Using Multi-theory Model of Health Behavior Change
Virtual Poster Jessenia Zayas-Rios, Amar Kanekar, Vinayak K Nahar, Manoj Sharma, Luma Akil
HIV/AIDS is a significant public health problem in United States and globally. It is estimated that about 1.1 million people are living with HIV. Early diagnosis through HIV screening is an important secondary prevention measure. Since 2006, Centers for Disease Control and Prevention (CDC) has recommended routine HIV screening in medical settings. However, recent surveys in US show that about 54% people have ever received an HIV screening and only 22% of have taken an HIV test in the past year. It is in this context, that the purpose of this study was to develop and validate an instrument based on the novel multi-theory model (MTM) of health behavior change that could measure changes in HIV screening behavior in Puerto Rican college students who are a high risk group. A 44-item instrument measuring the constructs of participatory dialogue in which advantages outweigh disadvantages, behavioral confidence, and changes in physical environment for initiating HIV screening behavior and the constructs of emotional transformation, practice for change and changes in social environment was developed and validated. The study presents the instrument and its process of establishing face, content construct validity and internal consistency reliability. The instrument is invaluable for interventional research.
Exploring Tai Ji for Well Being in Education Communities
Poster/Exhibit Session Tze-yue Gigi Hu
It focuses on my founding initiative of introducing Tai Ji for Wellbeing to K-12 and other educational communities. The concept of Tai Ji stresses the healing functions and effects of “movement in meditation” in an all-rounded sense with specific engagement of the spirit, mind and body during the exercise process. As the programme is meant to be educational and informative, part of the workshop includes theoretical and cultural explanations of the concept to the participants. For example the yin-yang principle and aspects of Daoist philosophy are presented during the workshop highlighting the artistic, philosophical and physical dimensions of Tai Ji as a life-guiding foundation. This poster will share with the audience my exploratory experience of providing such initiative Tai Ji workshops to various educational communities in Northern California, other parts of the US and Asia as well. The approach and findings of this project will be shown. Through the poster presentation, I hope to generate interest of Tai Ji for Wellbeing as another wellness practice and inter-cultural subject to offer in enhancing the healthy holistic education lives of students of all ages including mature adults and fostering their harmonious connections to both the social and natural facets of the environment.
Positivity and Stress-related Growth Following Life Events
Poster/Exhibit Session Hasida Ben-Zur
The aim of the study was two-fold: To assess the extent to which positivity ratio (positive affect divided by negative affect) and stress-related growth (SRG) following stressful life events are associated with perceived health status and economic situation, and with psychosocial resources of optimism, control and social support; To test a model in which health status and economic situation contribute to psychosocial resources which, in turn, affect positivity and SRG. Method. A secondary analysis of the data of 355 participants (56.3% women; Mean age = 39.72, SD = 11.75, Range = 22 - 77) was implemented. They completed questionnaires assessing positive and negative affect and SRG in relation to a relatively recent life event (1 – 24 months) such as illness, divorce, car accident, etc. They also completed questionnaires assessing demographic variables, perceived health status and economic situation (one item each), and social desirability, and dispositional optimism, sense of mastery and social support. Pearson correlation analysis showed psychosocial resources to be positively associated with health status and economic situation and with positivity ratio. Health status and economic situation were not associated with either positivity ratio or SRG. Using Structural Equation Modeling (SEM), the model with the best fit indices was the one in which optimism, mastery and social support were related mainly to health status; mastery and social support contributed to positivity ratio. Other alternative models had lower fit indices. Perceived health status and to some extent, economic situation, are important resources which affect psychosocial resources. Mastery and social support are the resources that independently contribute to psychological outcomes following stressful life events.
Body Composition of Elementary School Children: A Cross-Cultural Comparison between the United States and Japan
Poster/Exhibit Session Hikaru Murata, Metoki
The purpose of this pilot study is to compare elementary school children’s (1st grade to 5th grade) body compositions and daily caloric expenditures and intake during the school year in the United States and Japan. More specifically, the investigation will be focused on their height and weight, the quantity and quality of physical education classes, physical activity during recess, extra-curricula activities, and school lunch during the regular school year in the United State and Japan. The elementary school children’s height and weight will be measured by the primary investigator or an existing data in the schools may be referred. Also, the quality and quantity of physical education, activities during recess, and after school programs or extra-curricula activities, their school lunch will be monitored and analyzed by the primary investigator. The qualitative analysis will be used to compare the United States and Japanese elementary school children's body compositions. Also the qualitative analysis will be used to identify the possible factors that affect their body compositions such as caloric expenditures and consumptions.
Caring for Those Who Care: The Centre for Addiction and Mental Health Wellness Centre
Virtual Poster Ashley Wood-Suszko
The Centre for Addiction and Mental Health (CAMH) is Canada's largest mental health and addiction teaching hospital and a world leading research centre in this field. CAMH combines clinical care, research, education, policy development and health promotion to help transform the lives of people affected by mental illness and addiction. CAMH is fully affiliated with the University of Toronto, and is a Pan American Health Organization/World Health Organization Collaborating Centre. Employment Works! is a CAMH Human Resources recruitment and retention initiative targeted to recruit people with lived experience of mental health and/or addiction challenges, into vacant CAMH positions. This initiative was created in order for CAMH to "walk the talk", demonstrating to other employers that people do recover from poor mental health and that most can return to work in a dignified and productive manner. The CAMH Wellness Centre opened its doors to all staff, physicians, volunteers and students in May 2017. This space was designed for members to focus on their health and well-being, while also supporting and sustaining this practice. The team at the Wellness Centre encourages everyone to view your health holistically and repeatedly refers to seven elements that contribute to overall well-being: environmental, mental and emotional, financial, spiritual, occupational, social and physical. Our goal is to optimize our physical space and offer programs and workshops that elevate staff awareness and knowledge regarding their own wellbeing.
Developing a Web-based Environmental Nutrition Graduate Program at an Urban University in the United States
Poster/Exhibit Session Robin Roach
Developing and implementing a new, non-traditional, web-based graduate program in Environmental Nutrition at an urban, public university in the United States was unlikely. In a climate of budget reductions, program eliminations, and decreasing state revenues the timing seemed wrong, when actually it proved to be the perfect timing. Proposing a forward- thinking curriculum designed around sustainable food and nutrition issues that impact the health of humans and the earth led to program approval by the numerous university and state committees. Interdisciplinary content in the courses of humanitarian nutrition, alternative and complementary nutrition, food and culture, and sustainable food systems introduces new definitions of what it means to live healthy and create healthy communities. The emphasis on applied practices culminates with an internship and hands-on project experience. Contrary to our initial expectations, declining resources and economic trends did not prevent positive change. Recognition that sustainable food and nutrition practices are not fleeting trends, but essential links to health and wellness led to approval of a new graduate degree program.
The Effect of Health Psychology Courses on Mindfulness, Mental Health, and Physical Health
Poster/Exhibit Session Rhiannon Star
Health education seeks to increase students’ awareness and knowledge regarding various aspects of health and university courses in Health Psychology may be one important avenue for promoting health education. Previous research has shown that students in a Health Psychology course reported a reduction in drug use and related behavioral symptoms (Miley, 2001). A limitation of this study, however, is that participants were at-risk students who elected to complete the course in lieu of punitive sanctions for on-campus alcohol violations. We conducted a quasi-experimental study with students who elected to complete the course as part of their regular academic program. The control group consisted of students enrolled in a Research Methods class. Specifically, we examined whether completing a 10-week Health Psychology course increases perceived overall mental health, physical health, mindfulness, and health self-efficacy, as well as decreased perceived stress. Preliminary analyses revealed that Health Psychology students tended to score lower on mental health, in comparison to the control group, suggesting that students who are experiencing greater challenges may be more inclined to take Health Psychology classes. Analyses showed a significant correlation between mindfulness and mental and physical health among Health Psychology students. Implications for health education and teaching of Health Psychology are discussed.
Promoting Quality Health Education and Health Care Delivery by Using Measurement Feedback System
Poster/Exhibit Session Jaime Montes Gutierrez, Mithila Kareti, Rona Margaret Relova
The increased presence of technology in healthcare has led to a virtuous cycle of data-driven insights and improved care; however, mental health has yet to figure out how to make measurement based care (MBC) work at scale. The VA Palo Alto Health Care System (VAPAHCS) is partnering with Mirah to improve active utilization of MBC as integrated into daily clinical workflow and telemental health programs. Mirah’s MBC tool, a Measurement Feedback System, is built to make insights readily accessible to all stakeholders: patients, clinicians, and clinical leadership. The system tracks treatment progress and process, medication adherence, and strengths. Methodology: The study uses a software platform that tracks symptoms and measures treatment progress. Participating patients complete behavioral health assessments online prior to each clinical session. The system provides feedback reports that drive clinical decision-making for each patient. All clinical data are interpreted in comprehensive graphical reports in real-time for the clinician and patient to review together. Results: Currently, 12 clinicians and 26 patients are enrolled in this ongoing pilot study. Implications: Completing symptom-rating scales empowers patients by helping them to more fully understand their disorder and the fluctuation in their symptom severity over time. Furthermore, the use of symptom-rating scales helps patients communicate to clinicians what is and is not working in their current treatment regimen, thus facilitating changes to their treatment plan. This fosters a sense of shared decision-making, thereby improving the quality of mental healthcare delivery, and serves as the basis for true evidence-based practice.
Application of a Model of Culturally Congruent Client Education to Support Person Centered Care
Virtual Poster Pamella Stoeckel
Culturally congruent client education involves providing meaningful and useful education for clients by incorporating diverse ways of knowing from the viewpoint of various cultural groups. It is a harmonious approach to working with clients that shows sensitivity and respect for individual differences and willingness to collaborate with them to meet their health education needs. After this presentation the participant will be able to: Identify the need for culturally congruent client education to support person centered care, identify the major components that make up the culturally congruent client education model and will discuss strategies for effectively incorporating the model into inter-professional person centered care.
Shaping a Walkable City for Health Promotion
Poster/Exhibit Session Dongha Kim
Car-oriented city development accelerated the pace of life, resulting in side effects related to health. In 2012, the Seoul Metropolitan Government announced a master plan for walkable city in order to create a healthy environment. However, the prevalence of walking in Seoul is declining. To improve understanding of urban walking in Seoul, we applied a systems thinking approach where a Casual Loop Diagram (CLD) of systems dynamics was constructed based on qualitative study results, literature review and expert discussions. The CLD included three reinforcing loops and four balancing loops. Reinforcing loops consisted of: social pressure to use public transportation to decrease air pollution and traffic congestion; online information widely available about good places to walk; and installation of pedestrian-only street to increase safety. Balancing loops included: suburbanization caused by rising real estate prices that induces automobile use; reduced frequency of going out with increased online services; opposition of local businesses to pedestrian-only streets for the fear of losing customers with automobiles; and community safety concerns with pedestrian-only streets that may reduce accessibility of firefighting vehicles. Urban walking is influenced by complicated causal relationships among urban features including transportation, housing, environment, safety, and economy that create socio-cultural contexts of a city. The development and implementation of policies for a walkable city require multi-sectoral cooperation to solve the cyclic causal structure. Evaluation areas for policy effects should also be diversified accordingly.
Measurement Based Care in Mental Health : Implementation in the US Veterans Health Administration
Poster/Exhibit Session Mithila Kareti, Jaime Montes Gutierrez, Rona Margaret Relova, Mithila Kareti
Measurement Based Care (MBC) in Mental Health is a U.S. Veterans Health Administration initiative that aims to improve health outcomes by facilitating shared decision-making and tailored treatments. Previous barriers in implementing MBC include clinician reluctance and lack of patient involvement. Mirah, a MBC technology, is a novel software platform that tracks symptoms and measures treatment progress in real time. This ongoing study evaluates the use of Mirah to alert clinicians to acute concerns, chronic problems, and strengths/assets as reported by patients. By distilling data into actionable insights shared during sessions, both clinicians and patients become actively involved in treatment planning. Quantitative data collected include assessments completed each session by patients and metadata on implementation (measure completion and feedback viewed). Pre- and post-project surveys capture clinicians' attitudes and perspectives towards MBC. Documented observations throughout implementation will provide an additional data source that will be discussed with focus groups at the study’s conclusion. Currently, 12 clinicians and 26 patients are enrolled in this study. A growing body of research testifies to the potential merits of MBC and its effectiveness in improving mental health outcomes. Clinician and patient buy-in is critical to successful implementation of MBC in practice settings. Understanding MBC capabilities can lead to widescale acceptance of the tool and better integration in clinical workflow. Providing a best-practice model that underscores how MBC can enable accurate triage of symptoms through theory-based principles, encourage interactive data-driven goal-setting, and promote customized therapies may promote clinician-patient engagement.
Hurt Pounds: Family Meals, Eating Behaviors, and Self-care in Counselors
Virtual Poster Katerina Mallias
A workshop (Hurt Pounds) for social workers/therapists (n=64) was held at Youngstown State University in June 2017. Hurt Pounds includes the emotional weight that we carry which may affect our interactions with others. It was important to determine whether the caregivers themselves were affected by these phenomena. A survey regarding wellness practices (including family meals), self-care behaviors and emotional characteristics was distributed. Analysis of variance was conducted to determine the relationships between family meal participation and healthy behaviors. Results indicate that this group was not at risk of an eating disorder (n=3, 5%) and that family meal participation was high (n=78%). However, family meal participation did not predict forgiveness, self-compassion, BMI body appreciation, acceptance or action. Research indicates that family meal participation promotes health and well-being (Skeer & Ballard, 2013, Larson 2008) as does social support (Lytle, 2017).
Evaluating Emergency Services in the Service-added Older Adults Housing in Osaka City Japan: A Case Study
Poster/Exhibit Session Tomoko Shigaki, Hiromasa Yamamoto, Michio Miyano
The number of transportation to the hospital transported according to ambulance service record by the Service-added Older Adults housing in Osaka City 60 years or older increases to 10,137 from 3,866 in 2016 from 2009 and increases to approximately 2 times with 48.8 from 120.2 by the a population of 10,000 hit 60 years or older. Staffs and family grasp the tendency of a state, the symptom in the normal and discover it early in the emergency, and it is demanded that they cope. It is evaluated the daily emergency services of internal and external causes taken to hospital at Service-added older adults housing in Osaka using the emergency records from 2012 to 2017, 23 transportations with consideration to time of day, place of occurrence and ages, nursing care level, the presence of the crisis of the dementia, and actual condition before and after transported to the hospital following 3 aspects were obtained: Internal diseases occupied 69.6%: Cardiovascular system heart trouble, cerebropathy, respiratory pneumonia, whole body symptom and sign et al. On the other hand, external diseases occupied 30.4%: Injury, blow, fracture, etc. A person with slight illness occupied half, and the transportation with more than of severer symptom to need emergency transportation was originally less than 40%. After a discharge, the ratio that a need of nursing care degree raised and the ratio of the service use increased was over 40% and it was double the person of non-emergency transportations ever.
The Self-management Support Needs of People with Long-term Health Conditions at Work
Poster/Exhibit Session Sally Hemming
Five million people in England have a long-term health condition (LHC) including musculoskeletal (MSK) and mental health disorders (i.e. stress, depression and anxiety). A majority of LHCs are acquired at working age yet employment rates of those with an LHC are persistently low. Having quality employment is vital for the health and wellbeing of people, keeping people healthy and productive at work for longer is important. Whilst research has focused on issues around workers with LHCs, little research has examined contextual factors of work, dynamics of workplace relationships, mechanisms of support and its influence on employees’ self-management activities. We identify the workplace self-management support needs of employees with an LHC, and workplace dynamics that empower people to manage their LHC in work. It is hypothesised that poor psychosocial working conditions will be related to low patient activation, and higher risks of poor self-management at work. The research adopts a purposeful sampling approach recruiting employed, working participants with a minimum of one diagnosed LHC. The research is made up of four studies including: an employee survey utilising the Patient Activation Measure (PAM®) and UK Health and Safety Executive Management Standards Indicator Tool (MSIT); a longitudinal employee 10-week diary study and; an employer semi-structured and employee narrative interview study. Seven hundred participants took part in study 1, 44% (n=306) report at least one diagnosed LHC. Mental health (n=108) and musculoskeletal (n=83) disorders are most prevalent in the group. Findings to date and a study summary will be presented.
The Role of Dispositional Mindfulness and the Conformity to Masculine Norms on the Suicide Ideation of Males
Poster/Exhibit Session Vicky Vazquez-Barrios
Past studies have focused on evaluating how the practice of mindfulness affects an individual’s psychological health outcomes such as depression, anxiety, and suicide without the consideration of gender specific social norms. The aim of this cross-sectional study is to evaluate the simultaneous role dispositional mindfulness and the conformity to masculinity has on the suicide ideation of males over the age of 18. A sample of 120 men will be recruited from the Miami-Dade County area. Participants will be recruited via convenience sampling from local organizations, health clinics, and college-campuses. These participants will complete a questionnaire that will incorporate questions from the MAAS, Mindfulness Attention Awareness Scale that assesses dispositional mindfulness, the CMNI-46, Conformity to Masculinity Scale that assesses masculine gender role conformity, and the BSSI, Beck Scale for Suicide Ideation that evaluates the presence of suicide ideation and its severity. Internal consistency of the questionnaire will be assessed using Cronbach’s alpha. A Pearson correlation coefficient of 0.07 or greater will be used to measure the strength between dispositional mindfulness and the conformity to masculinity to suicide ideation of the males. Expected results will show a positive correlation between dispositional mindfulness and the conformity to masculinity and suicide ideation of all men via a t-test where p value of 0.05 or less will signify statistical significance of the data. The collection of data from this study will be essential in bringing awareness and improving men’s health outcomes.
Addressing the Behavioral Health Needs of Men through a Gender Sensitive Practice Model
Virtual Poster Glenn Stone
There has been increasing attention to the behavioral health issues of men over the past 20 years. Research over that period has shown us that men are at greater risk for certain problems and poorer outcomes due to their gender. For example, men commit suicide at four times the rate as women.This situation is probably worsened by the fact that more than half of men with behavioral health issues receive neither formal nor informal treatment. Some speculate that this may be in part the responsibility of a care system that does not adequately reach out to men in a manner in which they can accept and receive help. It is the purpose of this presentation to put forth a model of practice with men that is gender-sensitive in the manner in which assessment and intervention occurs.This general framework of practice will be presented with a discussion of the special challenges that men present to helpers in the field. Suggestions for overcoming various challenges will also be presented.
