W19 webbanner


Sep 19, 2019
08:00-09:00 Conference Registration Desk Open / Mesa de inscripción abierta
09:00-09:30 Conference Opening / Inauguración del Congreso - Dr. Phillip Kalantzis-Cope, Chief Social Scientist, Common Ground Research Networks, Champaign, United States
09:30-10:05 Plenary Session / Sesión plenaria - Dr. Ben Chrisinger, Associate Professor, Evidence-Based Policy Evaluation, Department of Social Policy and Intervention, University of Oxford, United Kingdom

"Place Matters: Linking Evidence to the Practice of Building Healthy Communities"

Dr. Benjamin Chrisinger is an urban planner by training. He conducts interdisciplinary research on the relationships between place and health, especially health disparities, and the role that place-based policies can improve health equity. His latest work focuses on relationships between individuals' neighborhood perceptions and health disparities, as well as the lasting legacies of historical events or policies. He is also engaged with using new technologies and community-engaged methods in his research.

Dr. Chrisinger completed his Ph.D. in City and Regional Planning at the University of Pennsylvania, and Masters and Bachelors degrees in Urban and Environmental Planning at the University of Virginia. Prior to joining the Department, Dr. Chrisinger was a postdoctoral research fellow with the Stanford Prevention Research Center, a division of the Stanford University School of Medicine that specializes in behavioral research and interventions, including those at the community level. He is currently Associate Professor of Evidence-Based Policy Evaluation in the Department of Social Policy and Intervention at the University of Oxford, where he is also a Research Fellow with Green Templeton College.
10:05-10:35 Garden Conversation / Charlas de jardín

Garden Conversations are informal, unstructured sessions that allow delegates a chance to meet plenary speakers and talk with them at length about the issues arising from their presentation. When the venue and weather allow, we try to arrange for a circle of chairs to be placed outdoors.

Las charlas de jardín son sesiones informales no estructuradas que permiten reunirse con ponentes plenarios y conversar tranquilamente sobre temas derivados de su ponencia. Cuando el lugar y el clima lo permiten, se realizan en el exterior.
10:35-11:20 Talking Circles / Mesas redondas

Held on the first day of the conference, Talking Circles offer an early opportunity to meet other delegates with similar interests and concerns. Delegates self-select into groups based on broad thematic areas and introduce themselves and their research interests to one another.

Plenary Room - Spanish-language Talking Circles/Mesas Redondas
Room 1 -  Inclusive Health and Wellbeing
Room 2 - The Physiology, Kinesiology, and Psychology of Wellness in its Social Context
Room 3 -  Interdisciplinary Health Sciences
Room 4 -  Public Health Policies and Practices
Room 5 -  Health Promotion and Education

Celebradas el primer día del congreso, las mesas redondas constituyen una de las primeras oportunidades para conocer a otros participantes con intereses y preocupaciones similares. Los participantes eligen los grupos que prefieren según grandes áreas temáticas y se sumergen en grandes debates sobre los temas y problemáticas para el área correspondiente de la Red de Investigación.
11:20-13:00 PARALLEL SESSIONS
Plenary Room Workshops / Talleres

The Red Lotus Health Promotion Model: A Values-based Model for Critical Health Promotion Practice
Lily O'hara, Associate Professor of Public Health, Department of Public Health, Qatar University, Doh, Qatar
Jane Taylor, Associate Professor, University of the Sunshine Coast, Australia

Overview: The Red Lotus Health Promotion Model was published in 2007 and has since been used in undergraduate and graduate health promotion courses in Australia, USA, UK, UAE, and Qatar, as well as in research studies and health promotion programs. The Red Lotus Health Promotion Model is designed to support critical health promotion as a public health practice, and responds to the calls in all health promotion declarations from the Ottawa Charter onwards, to move practice away from biomedical-behavioral approaches. The distinguishing feature of the Red Lotus Health Promotion Model is the inclusion of a system of values and principles for critical practice. These values include, but are not limited to: health equity, social justice, holistic health paradigm, strengths-based salutogenic approaches, socioecological science, non-maleficence, and the redistribution of power and decision making. In 2018, we investigated the impact of using the Red Lotus Health Promotion Model as a pedagogical foundation for health promotion courses on the practice of graduates. As a result of this evaluation, a process of peer review, and our own ongoing critical reflection, we have refined the model’s content to enhance its utility. This workshop will introduce the new version of the model, and provide participants with an opportunity to use the critical reflection tool to explore how the Red Lotus Health Promotion Model might be used in their own health promotion practice.
Theme:Public Health Policies and Practices

Whole Person Health and Well-being Without a Prescription
Steve Peterson, Grand Canyon University, Phoenix, United States
Overview: This workshop will explore how control of the sympathetic and parasympathetic nervous systems affects immune response and transient physiological conditions, and is a mindful proactive approach to whole person health across the lifespan. Diaphragmatic Breathing is a tool for not only achieving mindfulness but also has physiological benefits for immediate and long-term health outcomes. Participants will engage in diaphragmatic breathing exercises and meditation to experience the disruption of the sympathetic nervous system and engagement of the relaxed physical state of parasympathetic response. Failure to control anxiety and stress can often lead to a disease state. Anxiety and stress, be it social/personal pressure or as a result of a disease state, causes the body to enter a “fight or flight” mode that results in the release of the stress hormones cortisol and epinephrine. These two chemicals can cause short and long-term damage to tissue and negatively impact body processes. Understanding the causes and effects of these chemical releases, as well as how and why to control them, becomes a behavior modification strategy for immediate and long-term health benefits. Participants will gain these insights and behavior-modifying strategies. This key question will be answered: Are you reacting to stress? Or responding to it? Simple diet strategies will be explored and their benefits as an augmentation to daily mindfulness and lifespan behavioral modifications. Participants will engage in mindful meditation techniques, diaphragmatic breathing exercises, self-reflection, and open-forum sharing of takeaways garnered from the workshop.
Theme:Health Promotion and Education
Room 1 Health and Wellness: A Focus on Aging

A Model of the Relationship between Childhood Trauma and Adult Chronic Disease
Kara Irwin, Primary Care and Mental Health, Alberta Heath Services, Calgary, Canada
Jana Lait, Senior Advisor, Alberta Health Services, Canada

Overview: Chronic disease is common in adults and has implications for general health, quality of life, and mortality. The literature posits a causal relationship between childhood psychological trauma and both the development and poor outcomes of chronic disease in adulthood. To optimize chronic disease management and work towards prevention, an understanding of the relational mechanisms is key. Two primary pathways of how childhood trauma leads to chronic disease in adulthood have been posited. In the first pathway, adverse childhood experiences lead to coping behaviors such as smoking, alcohol use, poor food choices, and sedentary lifestyle. These behaviours then become the mechanism of biomedical damage and the development of chronic disease. In the second pathway, experiencing trauma activates the hypothalamic-pituitary-adrenal axis, sympathetic nervous system, and the inflammatory response. Having these systems hyper-activated early in life causes permanent changes and primes these systems to over-respond to stressors, leading to chronic disease. While these pathways are helpful, they are incomplete in that they overemphasize Cartesian dualism and the separation of physical, psychological, and social health. Using biopsychosocial and trauma-informed approaches as theoretical foundations, we will present a parsimonious model of the complex relationship between childhood trauma and chronic disease in adulthood. Adoption of this model into practice has implications for people with chronic disease, healthcare providers, and health care systems for managing and preventing chronic disease.
Theme:Health Promotion and Education

Aging in Place: Preference and the Voice of Care-giver Among Hong Kong Residents
Hong Zhou Chen, PhD Candidate , Social Work and Social Administration , Hong Kong, Hong Kong
Overview: The term Aging in Place (AIP) has gained its reputation in a majority of welfare realms to avoid the expensive cost of residential care and age-related loss. Senior residents in Hong Kong present a robust preference for aging in place, but the environmental barriers and individual ability hinder those endeavoring; the long-term caring plan for caregivers, simultaneously, were also constrained by care-giving pressure and empirical concern. This study explores factors related to AIP preference in Hong Kong, focusing especially on care-giver roles and their environmental concerns in a metropolitan city. We collected 248 survey data from an on-line self-assessment which was a long-term care decision making tool (“the Tool”) developed by a social enterprise named PaterMater, with academic support by Sau Po Centre on Ageing, The University of Hong Kong. Web users were required to complete a 5-minute self-assessment to understand family’s caring needs and restrictions, along with elderly’s health status. Half of the caregivers (45.6%) preferred their care-recipient to age in place whilst 40.7% of the participants were still hesitating. Cluster analysis suggests a positive correlation of elderly’s health status and caregiving concern, additionally, logistic regression suggested that a) primary caregiver (OR=1.67); b) finance and space sufficiency (OR= 0.32 and OR=0.59 separately); and c) lower education (OR=2.54) were more likely to support the elderly to age in place. Conclusion: Financial burden and space sufficiency were caregivers' main concerns when it comes to supporting the elderly to age in place.
Theme:Public Health Policies and Practices

Nordic Walking for Active Agers: A Case Study of Training and Programming
Leroy Hurt, Associate Dean, College of Continuing Studies, The University of Alabama, Northport, Alabama, United States
Overview: Nordic walking enhances personal fitness programs for individuals and wellness coaching and programming for trainers, club owners, and corporate wellness managers. Nordic walking, invented by Finnish cross-country skiers, is a full-body activity using poles to involve the upper body in walking. Evidence-based research has shown that Nordic walking improves weight loss, glucose management, muscular strength, lung capacity, heart capability, and cholesterol levels among other benefits. Nordic walking is especially suitable for active agers because it is a low-impact activity that allows those with joint issues and chronic conditions to participate. Nordic walking also makes group walks enjoyable because the intensity level allows walkers to converse during exercise, providing a rich social benefit. The presentation of this case study includes an exploration of the adoption of Nordic walking using Rogers' diffusion of innovations theory and assesses training and programming possibilities for individuals, trainers and coaches, and corporate wellness managers.
Theme:Health Promotion and Education

Creative Aging through Multimedia Digital Art: A Unique Consideration for Enhancing the Well-being of Older Adults
Katrina Pineda, California Representative, Arts Health Early Career Research Network, Glendale, United States
Overview: This process evaluation was conducted on a multimedia digital art course for older adults at an independent living facility. Smartphones were used for photography, photo editing, digital scrapbooking, videography, and augmented reality (AR). This process evaluation aimed to identify the opportunities and challenges of this pilot course as an addition to existing programming. It aimed to determine if the pilot course was suitable and enjoyable for participants and volunteers, run efficiently, and capable of advancing the mission of the primary arts in health organizations involved. Additionally, it proposed best practices for multimedia digital art courses with older adults in the future. This process evaluation was conducted with a mixed methods approach, pragmatic worldview, convergent parallel mixed methods design, and inductive content analysis methodology. It was found that the course was practical and enjoyable for participants, accelerated the shifting of the digital divide, connected multiple generations, and enhanced the joy of lifelong learning. Opportunities for improvement were identified by both participants and facilitators, and best practices have begun to emerge for future multimedia digital art courses.
Theme:2019 Special Focus: Inclusive Health and Wellbeing
Room 3 Healthcare Reform Impacts

Right to Reply: Using Patient Complaints and Testimonials to Improve Performance in the NHS
Dr. Louise Dalingwater, Associate Professor, British Politics, Sorbonne Nouvelle University, Paris, France
Overview: A number of different methods are currently in place within the British National Health Service (NHS) which actively encourage patients to judge the provision of health by sharing their experiences of care and treatment, completing surveys, etc. Testimonials are also a way of evaluating the provision of health care and are posted regularly on NHS websites (Patient Opinion, NHS Choices, etc.) and also on special care and charity websites. Providing an outlet for patients to complain can be a useful way of ensuring not only that individual rights to quality health care are respected but also of increasing awareness of safety-related problems within health organisations, or various problems relating to health care delivery. However, such information and other data on user experiences are not currently well aggregated or used to drive improvements in health care provision. So while the right to reply and using patients’ experiences and/or complaints might be a way to improve care, this paper underlines a number of difficulties in collating and effectively using such information. It uses a case study of the Mid-Staffordshire Hospital Trust negligent care scandal of the period 2005 to 2008 to illustrate why a patient-led approach to monitoring care provision is essential but difficult to implement in practice.
Theme:Public Health Policies and Practices

Promoting Positive Healthy Behaviors in Schools by Linking Health Education Standards to Social Emotional Learning Core Competencies
A. Kuulei Serna, Director and Associate Professor, Institute for Teacher Education, Elementary Education Program, University of Hawaii at Manoa, Honolulu, United States
Dr. Deborah K. Zuercher, Professor, Teacher Education, University of Hawaii at Manoa, Honolulu, United States

Overview: The National Health Education Standards (NHES) were developed to establish, promote and support health-enhancing behaviors for students in all grade levels—from pre-Kindergarten through grade 12. The NHES standards address students’ abilities to comprehend health; analyze influences on health behaviors; access valid health information, products and services; use interpersonal communication skills to enhance health; use decision-making skills to enhance health; use goal-setting skills to enhance health; practice health-enhancing behaviors; advocate for personal, family, community health. Concurrent to the development of the NHES (1991-1995), Social Emotional Learning (SEL) was introduced as a framework that addresses the needs of young people in response to coordinate the inundation of youth development programs in schools. These SEL core competencies enhance students’ capacities to integrate skills and attitudes, which better equip them to deal effectively with everyday tasks and challenges. These competencies are Self-Awareness; Self-Management; Social Awareness; Relationship skills; and Responsible Decision-Making. This paper will crosswalk the NHES and SEL Core Competencies to advocate that schools promote both frameworks and provide opportunities for their students to learn and practice behaviors that enhance student health (physical, mental, emotional, social, and spiritual). This paper will also present how these frameworks are taught in teacher education course work to promote the use of NHES and SEL Core competencies among pre-service teachers in their field and clinical experiences.
Theme:Health Promotion and Education

The Purna Health Management System: Fostering Inclusive Health and Wellbeing for All
Emily Schulz, Assistant Clinical Professor, Occupational Therapy, Northern Arizona University, Phoenix, AZ, United States
Overview: The Purna Health Management System (PHMS) is an integrated, inclusive holistic system for health management, based on perennial, ancient Vedic philosophy, developed by Professor, Dr. Sri Svami Purna Maharaj, that provides a preventive health routine as a way of life. The PHMS is for everyone; uses as a framework four stages of life which occur approximately every 25 years, and addresses four key factors: health, fitness and nutrition; life balance (stress management); spiritual growth and development; and living in harmony with the natural environment. This study used an anonymous online survey examining implementation of the PHMS and participants’ self-reported physical health, mental/emotional health, ability to manage stress, and wellbeing. Spearman’s ρ Correlation Coefficients were used to test hypotheses for relationships between the frequency of implementation of the four key factors of the PHMS, recommended activities, and outcomes of physical health, mental/emotional health, overall stress level, ability to manage stress, and perceived well-being. Forty-one out of 100 potential participants completed the survey. Participants who reported frequently implementing the PHMS reported positive outcomes in physical health, mental/emotional health, ability to manage stress, and overall stress. Participants who reported implementing more recommended activities reported increased wellbeing from the key factors of life balance (stress management) and spiritual growth and development. These findings suggest that the PHMS may be supportive of inclusive health and wellbeing in those who implement it, especially when used regularly. Additional research is needed to determine ways the PHMS can be used to promote inclusive health, wellbeing, and stress management.
Theme:2019 Special Focus: Inclusive Health and Wellbeing

Revising Inter-professional Relationships in Medical Practices: The Nigeria Perspective
Susan Otti Agha, Department of General Studies, Lecturer, Federal College of Dental of Technology and Therapy, Enugu, Nigeria
Overview: Inter-professional relationship in medical practice among the respective professionals in one of the most important elements of Medicare. A good inter-professional relationship resonates loudly and positively in favor of a healthy workplace environment for enhanced patients' satisfaction. Substantial studies have been carried out on the interpersonal relationship between medical professionals and patients/clients. However, not much study has been done on the inter-professional relationship among medical professionals in medical practice. Evidence has shown very high positive and healthy results in an atmosphere of effective interprofessional relationship. as a results patients/clients' satisfaction, staff commitment, compliance with therapeutic regimens, plan, appointments, proper diagnosis, saving time cost are guaranteed. in Nigeria, there is a perceived outstanding disharmony among stakeholders in the health sector. This disharmony has bred poor collaborative practice, teams spirit and teamwork in health care delivery. Ethics of the profession has consequently continued to whittle down, to the disadvantages of the patient population, often to fatal consequences. This work will, therefore, ascertain the interprofessional relationship among professionals in medical practice in Nigeria. It will identify the sources and areas of conflict between various professionals and will propose and recommend a change in order to improve and the health care system forward.
Theme:Public Health Policies and Practices
13:00-13:50 Lunch / Almuerzo

Common Ground Research Networks and the Health, Wellness & Society Conference is pleased to offer complimentary lunch to all registered conference delegates each day. Please join your colleagues for this break between sessions. Lunch is served in the foyer and delegates are asked to eat in the courtyard.
13:50-15:05 PARALLEL SESSIONS
Plenary Room Issues in Public Health

Micro-environment and Health in Slums
Dr. Mayank Mathur, Professor of Physical Planning, New Delhi, India
Overview: Research was undertaken to study the micro-environment and health of the inhabitants. The primary survey was done to gather information on socio-economic characteristics and spaces etc. Subsequently, interviews and focused group discussions with the workers were made to explore the process of manufacturing at household level in slums, Interviews with professionals such as Medical Private Practitioners practicing close to these settlement areas revealed about the health conditions of these inhabitants. It was envisaged that the poor health of these inhabitants may be due to the unhealthy micro-environment. Finally, a scientific survey was also conducted to explore the quality of the micro-environment in these areas, with the help of scientific instruments and the laboratory analysis at Central Pollution Control Board, Delhi. The findings of research are as follows: Head of the family imparted training to family members and the manufacturing trade progressed from father to son. Women workers involved in such home-based working combined work with their domestic responsibilities. Incidence of child labour is significant, although head of the family provides less hazardous work to their children. The survey revealed that the workers in the family had severe respiratory problems and therefore an indoor air quality assessment was conducted. The pollution level was found to be quite alarming in case of CO, NO2, SO2 and Suspended Particulate Matter. Issues of health and micro-environment need to be addressed urgently to take care of the existing settlements and in subsequent developments where such target group are expected to come.
Theme:Public Health Policies and Practices

Mapping Twitter Connections Centered on HIV/AIDS in the African-American Community
Sasha Arum, PhD Candidate, Centre for Science Communication, University of Otago, Dunedin, New Zealand
Overview: Although accounting for 13% of the American population, in 2017, African-Americans made up 44% and 46.8% of newly reported HIV and AIDS cases in the US respectively. Racial disparities in HIV/AIDS are a complex consequence of contextual, socio-economic, and cultural factors that act as barriers to the prevention and care continuum. Today, social media are being increasingly integrated into HIV prevention and care initiatives aimed at reaching populations most affected. Considering its popularity among African-American internet users, the social media platform Twitter has the potential to foster two-way discussion, information exchange, and community building around HIV/AIDS for people of color – an underexplored dynamic. Through mixed-methods, the present study maps the connections and exchanges within the African-American HIV/AIDS Twitter network. Virtual snowball sampling was used to identify a network of Tweeters with a joint interest in HIV/AIDS in the African-American community. Coding of network members profiles biography data reveal a diversity of healthcare roles from practitioners and sexual health educators to advocacy organizations and people living with HIV/AIDS (PLWHA). Social network analysis was used to map comradery (who follows who) and discussions (who tweets who) of the network. Additionally, the tweets, replies, and retweets of the network actors were collected over a 6-month period for content analysis so as to provide insight into the context and common themes of the discussions over time. A preliminary overview of this data will be presented. Findings from the study will help better align Twitter-based health education and promotion strategies tailored towards African-Americans.
Theme:Health Promotion and Education
Room 1 Health Initiatives for the Adolescent

Reproductive and Sexual Health Needs of Adolescent Students: Perspectives of School Teachers in Chandiagarh, India
Dinesh Kumar, Associate Professor, Department of Community Medicine, Government Medical College and Hospital , Chandigarh, India
Naveen Goel, Professor and Head, Government Medical College and Hospital, Chandigarth, India
Dr. Munesh Kumar Sharma, Government Medical College and Hospital, Chandigarth, India

Overview: Reproductive and sexual health challenges of adolescents and their growing needs have so far been neglected in India. We explore opinions of teachers regarding mentoring as a possible way of addressing reproductive and sexual health needs of adolescent students. A longitudinal survey among 376 teachers and 1819 adolescent students in 12 schools of Chandigarh, India, selected by stratified multi-stage random sampling under ICMR sponsored project was done. There were 71(18.9%) teachers of the opinion that mentoring means counseling while 55(14.6%) respondents were of the opinion that mentoring is to motivate the students and handle problem of mentees. Teacher was preferred as mentor by 150(39.8%) respondents. Perceived qualities of mentor included friendly nature (85.4%), motivating (81.6%), and willing to guide (78.5%). There were 335(89.1%) respondents who were willing to have pre mentoring sessions. About 77.0% respondents were found in favor of giving freedom to the students to choose their mentors. About 86.7% respondents were of the opinion that mentoring can be helpful in promotion of adolescent health. Mentoring was acceptable to 73% respondents. Mentoring can offer a huge potential for addressing several Adolescent Reproductive and Sexual Health (ARSH) needs of adolescents and young youths. It can be successfully implemented as an effective strategy for adolescent health promotion for their Planned Parenthood. Further research in these directions may expand the range of outcomes for which mentoring relationships are indicative of some beneficial effect.
Theme:Public Health Policies and Practices

The Development and Evaluation of a Peer-led, School-based Mental Health Promotion Intervention
Emma Williams, Postgraduate Research Student, Division of Pharmacy and Optometry, University of Manchester, Manchester, United Kingdom
Overview: It is important that people are able to develop and maintain their own positive mental health (MH). This is particularly true for young people who are vulnerable to the onset of MH problems, with 50% of adult mental health disorders established by the age of 14. Mental health promotion (MHP) can be effective at enhancing the mental health of this age group. Peer education in particular can be useful for supporting learning of skills, knowledge and behaviours as both learners and educators share a similar status (age) that increases relatability to a topic. In addition, because peer education supports engagement in learning, it is especially suited to teaching and learning about sensitive topics such as MH. The study reported here aims to develop and evaluate a MHP intervention delivered by undergraduate pharmacy students to high school students aged 13-14. Using the UK Medical Research Council guidelines for developing and evaluating complex interventions, stakeholder feasibility testing (pilot work) has been completed, the positive results are being used to inform the design of the final intervention, in conjunction with a scoping review and acceptability testing. Evaluation of the study is in the form of pre and post intervention MH knowledge and attitude questionnaires for both the high school pupils and the pharmacy students. A mental health stigma tool is additionally used with the high school pupils to measure impact.
Theme:Health Promotion and Education
Room 3 Spirit, Knowledge, and Healing

Prayer Circles and the Perception of Work Environment
Dr. Renee Bauer, Associate professor, Nursing, Indiana State University, Terre Haute, Indiana, United States
Emily Cannon, Professor, Indiana State University, Terre Haute, IN, United States

Overview: Spiritual care for health care providers has been vital for stress reduction and cohesiveness among professionals. Following an oncology patient’s difficult death in the fall of 2016, a small group of health care members decided to meet for a brief group prayer prior to the start of the AM shift. The group prayer gathering continued as attendees wanted to continue this brief morning prayer. The purpose of this pilot study was to determine how group prayer may have influenced health care workers’ perceptions regarding the work environment. A convenience sample of 27 health care team members took part in the project over a 1-month period. The data was gathered with a 10-item questionnaire, voluntarily completed after the experience. The information was reviewed and analyzed by the research team. This study was approved by an associated university’s institutional review board and the hospital review board. Significant findings emerged regarding the positive psychological and emotional experiences of those who participated in the project. Data also indicated that the timing of the group prayer was tremendously important. Prayer is a valuable tool for health care team members as a part of self-care. It may contribute to better employee relationships, cohesive working groups, and enhanced patient care.
Theme:Health Promotion and Education

Breast Cancer, Mana'olana/Hope, and the Experience of Native Hawaiian Women
Dr. Karla M. Calumet, Faculty Member, University of Roehampton, London, -, United Kingdom
Overview: Breast cancer is one of the leading causes of morbidity and mortality among women. A diagnosis of cancer is a stressful event that requires an individual to adapt to new stressors. The purpose of this qualitative study was to better understand the perceptions of Mana’olana/hope and living with breast cancer among Native Hawaiian women. The conceptual framework of this phenomenological study was positive psychology. Data collection included in-depth interviews with 5 Native Hawaiian women who had been diagnosed with breast cancer. Data coding and analysis resulted in the identification of 8 themes. Results may be used by health psychologists, cancer treatment practitioners, and the field of biobehavioral oncology to support and improve the well-being and health outcomes of women diagnosed with breast cancer.
Theme:Health Promotion and Education
Room 5 Health Trends

Exploring the Association between Multimorbidity and Elderly Abuse or Neglect in India
Dr. Sathya Thennavan, Post Doctoral Fellow, Development Studies, International Institute for Population Science, Mumbai, India
Overview: The prevalence of multimorbidity is increasing mainly as a result of a changing age structure along with rapid urbanization and health risk factors. However, to our knowledge, no previous study examined the association between multimorbidity and elder abuse or maltreatment in India. The aim of the study is to assess the impact of chronic multimorbidity conditions on elder abuse using nationally representative data. Cross-sectional data from the United Nations Population Fund (UNFPA) survey “Building Knowledge Base on Population Aging in India” (BKPAI- 2011) was used. The data consists of a sample of 9589 elderly aged 60 and above in seven states of India. Bivariate analysis multivariate logistic regression was used. The overall prevalence of elder abuse in the study population is 10.1% with significant variation across the states. The prevalence of elder abuse among older adults with no chronic diseases is 6.01% and increases to 22.7% among older adults with 4+ chronic diseases. Furthermore, results from multivariate logistic regression suggested a close association between multimorbidity and elder abuse. Older adults with 2, 3, 4+ chronic diseases are 2.91 (95% Confidence Interval (CI): 2.32- 3.66, p <.000), 3.96 (95% CI: 3.00-5.22, p <.000), 5.74 (95% CI: 4.24- 7.77, p <.000) times more likely to experience elder abuse/neglect than older adults with no chronic diseases, respectively. Our finding suggests that multimorbidity conditions play a significant role in determining the high prevalence of elder abuse. Therefore, any measure to prevent chronic diseases will have significant implications in preventing elder abuse in India.
Theme:Interdisciplinary Health Sciences

Inter-states Disparity on Utilization of Public Healthcare Facilities for Hospitalization Care in India
Dr. Anjali Dash, Post Doctoral Fellow, Department of Fertility Studies, International Institute for Population Sciences, Mumbai, India
Overview: The aim of this paper is to examine trends and patterns of hospitalization rates at public health facilities, inequality on healthcare utilization across the states of India over time, and to identify the factors associated with healthcare utilization. Bi variate, multivariate analysis, Concentration Index and Concentration Curve were used with the help of nationwide data on health survey of two round 60th (2004) and 71st (2014) by National Sample Survey Organisation, Government of India. Hospitalization rates in public health facilities was high for the poorer states in India. Hospitalization rates in public health facilities has increased over a decade in poorer states like Bihar 15% in 2004 to about 40% in 2014. Hospitalization episodes in public health facilities were highest due to non-communicable diseases. Though, economically weaker population were more likely to hospitalize at public healthcare facilities, the result being a wide gap between rich and poor on utilization of public healthcare facilities. Relative health spending also varied over the time period across socio-economic status of households in states of India. Health spending is an important indicator of the utilization of public healthcare facilities. Out-of-pocket expenditure of poorer states like Bihar was 6 times higher from Tamil Nadu during 2004 and relatively high even in 2014. However, a large share of health expenditure is borne by households’ income/saving or from borrowing which may reflect on equality in healthcare utilization, as well as relative spending on in-patients care which needs to be taken care of through states specific health insurance schemes.
Theme:Public Health Policies and Practices

Regional Cost and Clinical Comparison of Total Knee Arthroplasty in the US from 2008-2010
Dr. Jia Yu, Assistant Professor, Economics and Finance, Southern Connecticut State University, New Haven, Connecticut, United States
Alexandra Ball, MBA Student, Southern Connecticut State University, New Haven, CT, United States

Overview: The purpose of this research is to evaluate the clinical and cost effectiveness of total knee replacement surgery (TKA) for adults hospitalized in the United States from 2008-2010. Using the National Hospital Discharge Survey (NHDS), a data bank of hospital discharges from acute care hospitals in the United States, this study seeks to identify which U.S. region renders the highest quality patient care as measured by impact on patient discharge disposition, hospital length of stay, and adverse outcomes during a three-year span of 2008-2010. Cost data, abstracted from inpatient insurance claims over a 46-month period, is utilized to evaluate cost-efficiency of the surgery in the regions of the United States. Multivariate regression analyses are used to explore the relation of hospital costs as it impacts hospital length of stay and discharges disposition throughout the United States. The results of this study indicate that in a US representative sample of hospitalized patients, the average length of stay for all regions is less than four days with the lowest lengths of stay are noted in the West and Midwest. Demographic characteristics of age, race, and marital are associated with shorter lengths of stay, however, discharge status is only significantly impacted by age. The results of this study reveal that the West has the highest patient outcomes (as measured by the length of stay and discharge disposition) and had the highest expenditure related to this surgery revealing opportunity to study these systems for patient outcome data and cost containment strategies.
Theme:Public Health Policies and Practices
15:05-15:20 Coffee Break / Pausa para el café
15:20-16:35 PARALLEL SESSIONS
Plenary Room Innovation Showcase

Recharging with Mindfulness
Renee Machel, Speaker, Coach, Raeford, NC, United States
Overview: I explore what mindfulness and meditation is and isn't, debunking preconceived notions and explaining the key benefits that come as a result of adopting a mindfulness-based practice. I share how this set of skills can translate to how we lead our lives and counter negative stress. Practical and immediately implementable skills will aid in communication, practicing self compassion, recognizing patterns and opportunities where fostering connection can enhance well-being. Consistency is an important takeaway, adopting a new set of skills that can be built upon for life.
Theme:Health Promotion and Education

Chronic Pain Solutions: The Missing Link in Medicine
Dr. Daniel Twogood, Chiropractor, Apple Valley, CA, United States
Overview: The chronic pain epidemic has lead to the opioid crisis. As long as medication is the only answer to chronic pain, medication will get more powerful and more dangerous. This is not the solution. Most chronic pain is caused by specific substances in foods, food additives, supplements, and medication. When medical doctors begin the history and examination portion of treatment to determine the cause of symptoms, they never ask the patient what they eat. Conventional medicine has no answers for people who suffer with fibromyalgia, rheumatoid arthritis, migraines, chronic back pain and more, besides drugs. In this presentation doctors will learn how to conduct a thorough history, and they will learn how to determine what specific changes are necessary for the patient's recovery.
Theme:Interdisciplinary Health Sciences

Eating the Rainbow: The Science of Colorful, Plant-based Food and Practical Strategies
Deanna Minich, CEO, Food & Spirit, LLC, Port Orchard, WA, United States
Overview: Over the past decades, thousands of published studies have amassed supporting recommendations to consume fruits and vegetables for physiological and psychological health. Newer research has emerged to suggest that these plant-based foods contain a plethora of not only vitamins and minerals, but perhaps, most importantly, phytonutrients. These phytonutrients have known pleiotropic effects on cellular structure and function, ultimately resulting in the modulation of protein kinases and subsequent epigenetic modification in a manner that leads to improved outcomes. Even though eating fruits and vegetables is a well-known feature of a healthy dietary pattern, population intakes continue to be below federal recommendations. To encourage consumers to include fruits and vegetables into their diet, an “eat by color” approach is proposed in this presentation. Although each individual food may have numerous effects based on its constituents, the goal of this simplified approach was to identify general patterns of benefits based on the preponderance of scientific data and known mechanisms of food-based constituents. It is suggested that such a consumer-oriented categorization of these plant-based foods may lead to greater recognition of their importance in the daily diet throughout the lifespan. Other adjunctive strategies to heighten awareness of fruits and vegetables are discussed.
Theme:Health Promotion and Education
Room 1 Vulnerable Populations

The Power of Narratives: Increasing Empathic Awareness Among Vulnerable Populations Utilizing the Narrative Method
Allen Lipscomb, Assistant Professor, California State University Northridge, Northridge, CA, United States
Dr. Wendy Ashley, Associate Professor and Associate Chair, Social Work, California State University Northridge, Northridge, California, United States
Samantha Hertz, Research Assistant, Social Work Department, California State University Northridge, Northridge, United States

Overview: The Narrative Method™ or TNM is a program that uses stories and storytelling to help individuals connect deeply and create more meaningful relationships. TNM gives voice to individuals whose stories have been misunderstood or never heard at all by teaching the steps of A.W.E. – Awareness, Wonder, and Empathy. Drawing on human experiences, TNM teaches communication skills that lead to mutual understanding, increased tolerance and empathy. This research project explored the experiences of (n=44) individuals (i.e. Veterans, those experiencing homelessness, and substance abuse and addiction) who participated in a 12 week group session utilizing TNM.
Theme:The Physiology, Kinesiology and Psychology of Wellness in its Social Context

Wellness for Children with Disabilities in a Transitional Society: Socialization of Children with Disabilities in Vietnam
Le Thao Chi Vu, Assistant Professor, Faculty Policy Management, Keio University, Fujisawa, Japan
Overview: This paper calls attention to one approach to the health-related wellness problems, especially when the solution to their causes or remedies of them takes time and is too costly for their benefactors. The Wartime use of Dioxin-yielding chemicals has taken its toll on the human health in Vietnam. The estimated number of the disabled children among their postwar generations: 1.2 to 2 million. The government has made “war-remediation” efforts to alleviate the impact of the problem including healthcare services and financial support among others. However, their effectiveness is limited. Only 2% of these children access some form of rehabilitation facilities while their social needs remain largely unaddressed - 46% of the disabled people aged 6 above are illiterate. With this background, we installed an experimental, weekend classes at local primary schools in one of the Dioxin “hotspots” in central Vietnam. Our observations over the past 15 years reveal an important development. Through the weekend classes, known locally as Dream Class, the disabled children have developed what I call “social literacy”—the language and habit of relating themselves to others beyond their families, the routinization of activities independent of the parents preoccupied with the chores of all kind, the diversified means to express themselves such as painting, dancing and singing. The children are no longer isolated from each other and are expanding their social sphere. One desired approach is hinted: the installation of space and time for the disabled in the middle of everyone’s everyday life, and not away from it.
Theme:Public Health Policies and Practices

The Link Between Executive Functioning, Attention and Language in Premature Children: Comparing School-age Premature Children with Their Full-term Peers
Celeste Beaudoin, Master's Student, Speech and Language Pathology, Laurentian University, Sudbury, Canada
Dr. Roxanne Bélanger, Assistant Professor, Speech Language Pathology, Laurentian University, Sudbury, Canada
Josiane Roy, Master's Student, Speech and Language Pathology, Laurentian University, Sudbury, Canada

Overview: Several studies demonstrate that preterm infants are more at risk for developmental impairments compared to infants born at term, especially within the domain of cognition. The premature population has been shown to have deficits in executive functions and attention that to persist into adulthood and are considered responsible for poor academic achievement and lower income outcomes. Due to the impact of these skills in a child’s everyday academic and social life, it is essential to understand the development and outcomes of executive functioning and attention. The primary goal of this study was to measure the performance of premature school-aged children in tasks measuring attention, working memory and executive functioning and compare it to that of children born at term and without neonatal complications in order to determine if there is an increased risk of delays, as well as the nature of the difficulties. Twenty (n=20) school-age premature children from Northern Ontario were assessed using standardized tools measuring memory, information processing, attention, and executive functioning. Participants were matched according to gender, age, linguistic status (i.e. monolingual or bilingual) and socio-economic status. The influence of gestational age (GA), birth weight (BW) and socioeconomic status (SES) on participants’ performance were also reviewed. Our findings revealed that, at school age, children born prematurely were more at risk to develop deficits involving attention, cognitive processing and memory.
Theme:Health Promotion and Education
Room 3 Policy and Practice for Women's Health

New Approaches to Coping in Mothers
Dr. Janet Currie, Associate Professor, Health and Physical Education, University of Technology Sydney, Sydney, Australia
Overview: This paper provides enlightenment on the meaning of the coping experience for new mothers. Coping strategies used by mothers of young children is an important area to explore because feeling in control of one’s environment has important consequences for health, well-being, and feelings of confidence and adequacy in the motherhood role. From a wellness and empowerment perspective, effective coping depends on an individual’s personal evaluation of the situation. Much of the existing research on women’s mental health has not clarified the nature of the coping experience from a subjective wellness perspective, nor taken a grounded theory approach using the participant’s own words and meanings to describe the experience. Well or healthy mothers constitute the majority of the population, however, the focus has been on "not-coping," or unhealthy approaches. Taking a new health promoting approach, this paper will illustrate the strategies mothers use to positively cope with their environment. As past ‘health’ literature has primarily focused on a deficit and illness-based model of coping, this discussion opens up new horizons and dialogues related to what “coping” can actually mean when underpinned by a well-being paradigm.
Theme:The Physiology, Kinesiology and Psychology of Wellness in its Social Context

Domestic Violence among Married Women of Reproductive Age in Zimbabwe
Joseph Lasong, PhD, Reproductive Health, Tongji Medical College of Huazhong University of Science and Technology, Wuhan, China
Overview: Domestic violence does not only violate women’s fundamental human rights but it also undermines them from achieving their fullest potential around the world. This study was conducted to examine trends and factors associated with domestic violence among married women of reproductive age in Zimbabwe to empirically inform policy and relevant stakeholders in curtailing this public health concern. This was a cross-sectional study that used data obtained from 2005/06, 2010/11 and 2015 Zimbabwe Demographic and Health Surveys (ZDHS). Respondents ranged from married or living with a partner (15-49 years). Multiple logistic regression analysis was used to examine factors associated with modern contraceptive use. Out of 4472 women who were currently married, 1907 (42.7 %) had ever experienced one form of domestic violence (physical, emotional and sexual violence). The risk of domestic violence was higher among working women than unemployed women. Women who drink alcohol significantly risk experiencing domestic violence compared to their non-drinking counterparts; also women whose husbands drink alcohol were at higher risk of experiencing domestic violence. Domestic violence was higher among women whose husbands have ever experienced their fathers beating their mothers and significant for women whose husbands have more than one wife. High parity was also a risk factor for domestic violence among the studied population. Domestic violence was found to be strongly associated with women whose husbands drink alcohol, products of abusive parents/father beating their mother and/or polygamous marriage.
Theme:Public Health Policies and Practices

Abortion Stigma: The Optimal Measure in Research
Dr. Haryana Dhillon, Associate Professor, The University of Sydney, Australia
Sarah Ratcliffe, Researcher, School of Psychology, The University of Sydney, Sydney, Australia

Overview: There is sustained interest and research into abortion stigma from a sociological perspective. AIM: To systematically identify and psychometrically assess measures of abortion stigma. We systematically searched databases PsycINFO, PsycTEST, Scopus, ScienceDirect, Medline, PsycArticles, PubMed, and Web of Science using terms ‘(abortion OR pregnancy termination OR Termination of pregnancy) AND stigma AND measurement’. The review was preregistered with PROSPERO (ID#127339) and adhered to Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines (Moher et al., 2015). To assess the psychometric properties of included measures, the COSMIN methodological guidelines for systematic reviews (Prinsen et al., 2018) was used. Author SR screened titles, abstracts, and whole text for those reporting the development, testing, or outcomes of an instrument measuring abortion stigma. Data was extracted by SR and checked for accuracy by a second reviewer (HD). Discrepancies were resolved by discussion. RESULTS: Of 3484 articles identified, 58 were retained and 10 abortion stigma measures identified. Findings indicate measures vary in quality, with those of highest quality most widely used. Measures assess individual and community level stigma for abortion procurers, providers, and the public in Africa, Mexico, and USA. Validated measures of organisational, structural, and framing discourse levels of abortion stigma are scarce, although their presence in the abortion context has been investigated. Several validated abortion stigma measures were identified. Gaps in the measurement of abortion stigma reflect gaps in the research, such as the limited geographical range and limited measurement of higher-level abortion stigma.
Theme:Interdisciplinary Health Sciences
Room 5 Women's Wellbeing

Impact of the Internal Migration on Female Well-being: A Comparative Analysis of China and Taiwan
Aki Iida, Ph.D. Candidate, Institute of Sociology and Social Policy, Corvinus University of Budapest, Budapest, Hungary
Fumei Zhang, PhD Candidate, Corvinus University of Budapest, Hungary
Xinxin Xu, PhD Candidate, Corvinus University of Budapest, Hungary
György Folk, Senior Lecturer, Corvinus University of Budapest, Hungary

Overview: Internal migration in search of a better life is not a new phenomenon even today in China. If this betterment has been happening, a crucial question still remains open. The prediction of standard economic science on the fulfillment of human needs would be an automatic improvement as incomes increase. Despite the widely shared assertion of the economic mainstream, the relationship between income and well-being is rarely proven empirically. The main objective of this study is to examine the level of well-being of Chinese and Taiwanese females before leaving their homelands and after their migration to a new place. For data collection, a Likert-scale based 3-part questionnaire is used. The objective is to establish the relationship between the development of income and other conventional gains versus the availability of the satisfiers of eight cardinal needs for our sample before and after migration. The inquiry is built upon the model of cardinal needs, eightfold preconditions of any human well-being, including environmental, psychological and social needs, proposed as the underlying basis of human well-being interpreted differently overages, cultures, and disciplines. The results demonstrate that the availability of these obvious precursors of well-being decreased after migration in our sample. The satisfaction of material needs somewhat has improved while that of other needs have deteriorated. The study findings contribute to well-being studies as well as to understanding the geographical, socioeconomic, sociocultural differences in Chinese speaking regions of East Asia.
Theme:Public Health Policies and Practices

Food and Physical Activity-related Attitudes and Behaviors of African-American and Afro-Caribbean Immigrant Women in Atlanta, Georgia
Melany Chambers, Faculty, Communication, Georgia State University, Atlanta, GA, United States
Overview: In the U.S., overweight and obesity prevalence is highest among “Blacks” (African-Americans). Messages designed to target African-Americans rarely indicate acknowledgement of differences among the various cultures that comprise this segment of the population. Incorporating cultural sensitivity in message designs can produce more effective messages, which can then reduce waste in health campaign resources and better address obesity-related diseases such as hypertension, heart disease, and type-2 diabetes. This study utilized social cognitive theory to compare two sub-groups (African-American and Afro-Caribbean immigrant women) within the African-American segment of the population to identify any indicators that may justify cultural segmentation of obesity-related health message designs. There were more differences than similarities between African-American and Afro-Caribbean women. Both groups were concerned about their health and said they thought lifestyle affected health outcomes. Differences between the groups included positive versus negative attitudes toward food and physical activity modeled in their childhood, the social environment (current versus childhood) that influenced them toward healthier lifestyles, and, their definition of ideal body size as larger versus smaller. The study revealed that culturally, there were more differences than similarities between the African-American and Afro-Caribbean participants, thus suggesting some rationale for considering cultural segmentation of obesity-related health messages targeted toward the population segment currently referred to as “African-Americans” (Blacks). There were also some similarities, which may be used as the basis for designing undifferentiated messages for members of both groups.
Theme:Health Promotion and Education

How Easy Is It to Get an Abortion in Australia?
Ronli Sifris, Senior Lecturer, Law, Monash University, Melbourne, Victoria, Australia
Overview: This paper explores the law relating to abortion in Australia through a “pro-choice” lens. It begins by considering the need for decriminalisation as a precondition to the adequate facilitation of access to abortion services. As part of this discussion, the paper argues that the criminalisation of abortion is problematic for a number of reasons. For example, it contravenes the notion that the right to terminate a pregnancy falls within existing human rights norms, it increases the stigma attached to abortion, and it undermines the need for certainty and clarity in the law. It then proceeds to consider other factors, besides criminalisation, which affect women’s access to services. As part of this discussion the paper engages in an analysis of the law in the various Australian jurisdictions and considers the extent to which access to services is facilitated adequately. For example, it considers the “health exception” to prohibitions on abortion together with the imposition of gestational limits before discussing other relevant issues such as abortion on grounds of foetal abnormality, access to medical abortion, conscientious objection, non-legal barriers to access and the introduction of safe access zones.
Theme:Health Promotion and Education
16:35-16:45 Break / Pausa
16:45-18:25 PARALLEL SESSIONS
Plenary Room Innovation Showcase

All Day Energy the Natural Way
Richard Caveglia, Ageless Living Lifestyle, San Diego, CA, United States
Overview: This fast paced, highly interactive presentation is for those who want to learn simple, proven techniques and strategies for increasing personal energy naturally. Many people these days are lacking the energy they need to perform at their highest level, so they resort to stimulants, so-called energy drinks, and too much coffee. These stimulants are over stressing their adrenal glands and actually producing long term chronic fatigue. Participants will learn the real reasons they lack energy and what they can easily do to correct the problems. Participants will learn proven mind/body strategies and techniques.
Theme:Health Promotion and Education

gymSAFE: Orthopedic and Biomechanical Screen for Elite Female Gymnasts
Jennifer Kinder, Associate Professor and Kinesiology Program Director, Physical Therapy, Notre Dame de Namur University
Alyssa Herrera Set, Adjunct Faculty, Notre Dame de Namur University, Belmont, CA, United States
Jessica Wickizer, GymSAFE NonProfit Co-Founder and Gymnastics Coach, Belmont, CA, United States

Overview: Women’s gymnastics ranks second highest in National Collegiate Athletic Association (NCAA) sports in experiencing severe injuries, between wrestling and football. It has been found female gymnasts train 71% of the time with an injury, often with 45% of these injuries lingering at least 3 years later. Developing a way to prevent the high injury rates experienced by female gymnasts is a priority to families, coaches, and the providers who care for them. Similar to developing sport specific training programs for optimal performance, developing sport specific injury prevention screens can potentially assist coaches and providers in the prevention and treatment of musculoskeletal injuries common to that sport. The gymSAFE Movement Screen is the first assessment tool to specifically focus on identifying and addressing key common movement faults associated with mechanisms of injury in gymnastics. The gymSAFE screen, by means of a digital application, inputs the gymnasts’ screen data and provides an “injury risk score” that is easily translated to the gymnasts’ healthcare providers and coaches. Gymnasts are then taught a home exercise program by a physical therapist who specializes in gymnastics and dance. Audience members will learn the development of the gymSAFE screen, current reliability and validity data of the gymSAFE screen, and will receive hands-on practice using the gymSAFE application and score reporting system. The gymSAFE screen is a first-line step in preventing injuries and keeping female gymnasts healthy.
Theme:Interdisciplinary Health Sciences

Writing to Flourish: PERMA, Well-Being, Experiential Learning, and College Writing Success
Stacey Cochran, Assistant Professor, Coordinator of Student Success and Wellness, English, University of Arizona, Tucson, AZ, United States
Overview: Situated in PERMA (Seligman, 2011) and drawing on calls for research outlined in Character Strengths and Virtues: A Handbook and Classification (Peterson & Seligman, 2004), the speaker discusses how he is developing a student-centered experiential learning curriculum in First-Year Writing. The speaker will discuss a gratitude intervention research and reflection project first-semester students completed to develop positive mood, prosocial behavior, and other-centered metacognition. Assignment sheets will be provided. Additionally, the speaker will discuss additional support for his conceptual framework drawing on the zones of proximal development (Vygotsky) to mitigate culture shock (Oberg) that challenge first-year students’ persistence. Finally, the speaker will discuss two additional writing and research assignments that broaden and build (Fredrickson) from the gratitude intervention: a random acts of kindness research logbook project and a coordinator of cooking on campus research logbook project. Student samples and assignment sheets will be provided for all of these experiential, other-centered, research writing assignments. Finally, the speaker will address his role as Coordinator of Student Success and Wellness within the College of Social and Behavioral Sciences at the University of Arizona with an eye toward soliciting audience-participation and feedback regarding how to operationalize innovative curricula optimally within existing institutional power structures while considering stakeholders across a diverse range of disciplinary perspectives.
Theme:The Physiology, Kinesiology and Psychology of Wellness in its Social Context

Bridging the Gaps: Strategies for Challenging Behaviors
Katy Bigsby, Consultant, Bigsby Consulting, Victoria, British Columbia, Canada
Overview: In this presentation, we look at how non-formal learning settings, using a Social-Emotional Learning framework, can support children and youth with challenging behaviors. What kinds of invitations to participate work? How can staff support participants through the use of pro-active strategies, namely, rapport, boundaries/expectations, and flexibility? I will present some innovations.
Theme:Interdisciplinary Health Sciences
Room 1 Social Determinants of Health

Preliminary Investigation of Prehypertension in Taxi Drivers of Jilin, China
Dr. Charles D. Sands, Provost/VP for Academic Affairs, Professor of Health Science, Office of the Provost, California Baptist University, Riverside, California, United States
Linn Carothers, Professor, California Baptist University, Riverside, CA, United States
Dr. Charles D. Sands III, Samford University, Birmingham, AL, United States
Jin Shu, President, Chia Tai International Hospital, Jilin, China

Overview: Limited data exist on the health status of taxi drivers in Jilin City, China. Jilin is a city of ~5 million people in the northeast part of China. Taxi drivers (N = 309) were recruited for free health screenings to the Bo Hua Hospital via radio announcements and print advertisements. Taxi drivers who reported to the hospital and volunteered were assessed in the following areas: Blood pressure, height, weight, alcohol consumption habits, smoking habits, and exercise habits. Eighty percent were male (avg age 41); twenty percent were female (avg age 43). 65% of the male taxi drivers admit to alcohol use; whereas 94% of the female taxi drivers do not (p<0.0001). Male SBPs were significantly higher than female SBPs, with men averaging 127 +/- 1 mmHg and women around 117 +/- 2 mmHg (p<0.0001). Furthermore, there was a significant association of smoking and drinking (p<0.001) among the drivers. Both male and female systolic and diastolic blood pressures differed significantly when compared using independent t-tests (p< 0.0001) and by comparing resample confidence intervals - with males exhibiting the highest levels of blood pressure. 75.3% of the males were prehypertensive and 46.7% the females were prehypertensive (defined as >120/80 mmHg and <140/90 mmHg). Additionally, 24.7% of the males and 14.5% of the female taxi drivers exhibited hypertension (> 140/90 mmHg). Overall, the health status of taxi drivers in Jilin, China appears to be relatively positive. The hospitals intention now is to provide specific health education interventions based on results collected in this study.
Theme:Health Promotion and Education

Neighborhood Social and Environmental Characteristics and Their Associations with a Multi-dimensional Measure of Well-being
Ben Chrisinger, University of Oxford, Oxford, United Kingdom
Julia Gustafson, Community Partner Program Administrator, Stanford, CA, United States
Sandra Winter, Senior Research Scholar, Wellness Living Laboratory, Stanford University, Stanford, CA, United States

Overview: Individual well-being is a complex concept that varies among and between individuals and is impacted by individual, interpersonal, community, organizational, policy and environmental factors. This research explored associations between select environmental characteristics measured at the ZIP code level and individual well-being. 2,292 participants from the San Francisco Bay Area (mean age=44.7 years, mean household size=3.0 persons, 70.9% female, 60.5% white) completed the Stanford WELL for Life Scale, a 76-question online survey that asks about 10 domains of well-being: social connectedness, lifestyle behaviors, stress/resilience, emotional/mental health, purpose/meaning, physical health, sense of self, finances, spirituality/religiosity, and exploration/creativity. Neighborhood (ZIP-level) characteristics were collected from secondary sources: indices for walkability, crime, and pollution; median income; percent unemployment, race/ethnicity, and commute time > one hour; and number of healthcare and recreation facilities. Unadjusted linear mixed models were fit to assess relationships between neighborhood measures and individual well-being. Preliminary results indicate that overall well-being was significantly and positively associated with income (p<0.001) and racial/ethnic makeup (p<0.05), and negatively related with crime (p<0.005) and unemployment (p<0.053). The lifestyle behaviors domain was significantly associated with the most neighborhood characteristics, while the purpose/meaning domain was not significantly associated with any neighborhood measure. Additional, adjusted analyses will help contextualize findings within other known individual demographic characteristics. These early insights suggest that structural socioeconomic neighborhood factors influence individuals’ overall self-rated well-being, though much variation exists among the well-being domains. Further research is needed to determine targets for intervention at the neighborhood level that may improve individual well-being.
Theme:Public Health Policies and Practices
Room 3 Students and Graduates

Teachers’ Comfort, Care, and Confidence in Dealing with Issues of Student Suicide: A Longitudinal Study
Teresa J Rishel, Associate Professor, Elementary Education, Ball State University, Muncie, United States
Dr. Deborah K. Zuercher, Professor, Teacher Education, University of Hawaii at Manoa, Honolulu, United States

Overview: Due to the crisis of suicide activity and self-harming behaviors, teachers must realize the crucial role they can play in the life and death decisions of students. The first critical step is for teachers to acknowledge and assess their own level of competence and comfort about this challenging topic. In research published over a decade ago, researchers stated that teachers are considered to be the front line in handling issues of student suicide, bound with a caveat that although teachers are on this front line, they are ill-prepared to handle suicide. My findings supported their claims, often in spite of required suicide training. Teachers’ perceptions of their competence, comfortableness, and front-line position in handling student suicide issues were examined in this longitudinal phenomenological research study. Participants included 236 elementary (124) and middle school (112) teachers in fourteen school districts in two Midwestern states and a U.S. territory over a twelve-year span. Based on a Likert scale of self-reporting questionnaires and follow-up interviews with 104 of the participants, findings indicated that while 99% of the participants felt that they were the front line in handling student suicide issues, over half felt uncomfortable in doing so. Regarding competence, 75% of the participants felt they were not at all competent. Teachers’ responses in 2012 or later showed higher feelings of both comfort and competency, which indicated they may have benefited from the emergence of state-mandated suicide training. During later years, findings indicated that social media played a key role in teachers’ competence.
Theme:Health Promotion and Education

Putting Students’ Wellness at the Center of Student-centered Learning: A Systemic View
Dr. Jocelyn Chapman, California Institute of Integral Studies, San Francisco, CA, United States
Karen McClendon, Vice President, Institutional Research, Elk Grove, CA, United States

Overview: Wellness is a transdisciplinary concern, one that is inextricably linked to students’ academic success. Health not only affects a student’s ability to focus and concentrate, it influences her attitude, motivation, persistence, and self-identity (Anderson, 2015, 2016; LaFountaine, Neisen, and Larsen, 2007; Killams and Degges-White, 2017). Therefore, wellness should be central to a student-centered approach to education. To teach the whole student, we must see the student as a human being with a body, heart, and spirit. By helping students make the connection between their well-being and academic success, we can increase their personal responsibility for both. Using concepts from systems science, we propose a non-dogmatic approach to integrating attention to self-care across the disciplines. Context, goals, feedback loops, and leverage points are some of the concepts we will elaborate on, building on previous research and practices in systems thinking inspired health promotion (Newton, Dooris, & Wills, 2016; Naaldenberg, et al, 2009, Peters, 2014; Swanson, et al, 2012). Teachers are not required to learn a lot of principles in systems thinking to begin implementing some effective interventions and practices. Investing in providing students with appropriate information and skills-training to see their role in developing healthy lifestyle habits can result in more engaged and alert learners. It is our belief that teachers will find a systems approach to addressing wellness so rewarding that they will want to increase their systems know-how and experiment with using it in their primary discipline. We conclude with a discussion and promotion of “healthy universities.”
Theme:Health Promotion and Education

A Conceptual Framework for Examining the Importance of Emotional Intelligence on the Occupational Well-being of Recent College Graduates
Mark Lasota, Lecturer and PhD Candidate, Health, Exercise, and Sports Sciences, University of New Mexico, Albuquerque, NM, United States
Leticia Lasota, Academic Advisor, University of New Mexico, Albuquerque, NM, United States

Overview: When transitioning into the job market, there are numerous challenges that plague young adults. Research suggests 75 percent of mental-health conditions begin by age 24, which parallels the transition from college students to the workforce (National Alliance of Mental Health, 2017). This time period is critical for individuals to develop coping skills to handle change and new responsibilities. As technology continues to become an essential and influential part of everyday life, the need for young professionals to develop emotional intelligence to manage occupational well-being is imperative. Bar-On (2006) defined emotional intelligence as one’s ability to effectively understand oneself and others, relate effectively to others, and adapt to and cope with one’s immediate surroundings. Goleman (1995) mentioned five key elements to emotional intelligence: self-awareness, self-regulation, motivation, empathy, and social skills. Recent studies on multiple professions indicate a correlation between emotional intelligence and both job performance and satisfaction (O’Boyle, Humphrey, Pollack, & Story, 2011; Dhani, 2016; Pekaar, 2017). Bringing awareness to this body of research can help recent college graduates navigate the professional world and sustain satisfying employment experiences. According to Hettler (1976), “an occupationally well individual contributes his or her unique skills/talents to work that is meaningful and rewarding.” In this presentation, we present a conceptual framework based on an extensive literature review examining the dynamics between emotional intelligence and occupational well-being among recent college graduates. Our framework will be guided by previous models on emotional intelligence (Greenspan, 1989; Salovey and Mayer, 1990; Goleman, 1995) and adapted for recent college graduates.
Theme:The Physiology, Kinesiology and Psychology of Wellness in its Social Context

Teaching Storytelling: Improving Medical Student Well-being with Creative Writing Workshops
Candice Kim, Medical Student, School of Medicine, Stanford, CA, United States
Overview: Burnout is prevalent among medical students, indicating an urgent need to promote their well-being. Creative writing, which has previously been shown to improve patient well-being, represents a possible but understudied way to enhance medical student well-being. A creative writing workshop was offered to all medical students with 25 participating voluntarily. The 7-hour workshop combined didactic sessions and dedicated writing time. Well-being was assessed using the validated Medical Student Well-Being Index (MSWBI), which measures well-being on a scale of 0 to 7 with 7 indicating maximum distress. The MSWBI was administered to students immediately before the workshop and one week later. Of the 25 available workshop spots, there was 100% (25/25) participation. 80% (20/25) completed the pre-workshop MSWBI, and 76% (19/25) completed the post-workshop MSWBI. The average pre-workshop MSWBI was 3.40. The average post-workshop MSWBI was 1.68, with a 51% decrease compared with the pre-workshop average. Of the 14 participant-matched pre and post-workshop MSWBI, 64% (9/14) showed a decrease, 29% (4/14) showed no change, and 7% (1/14) showed an increase. The average decrease in MSWBI was by 3.22.
Theme:Health Promotion and Education
17:45-18:05
Room 1
Grandparent Caregivers: Positive Well-being and Life Satisfaction
Freda Coleman Reed, Assistant Professor, Social Work, University of North Alabama, Florencee, United States
Overview: Globally, the number of grandparents providing support to assist with raising grandchildren or as their custodial parent has grown significantly. Studies demonstrate family crises often necessitate grandparents providing support or assuming an oft-time parenting role to sustain family functionality for their grandchildren. Often time examination of this role assumption occurs through the lens of burden and the deleterious familial, psychological, and medical outcomes for grandparent caregivers. In contrast, the present research explored grandparent caregivers’ choice to parents, parental stress, resources, spirituality, and social supports contribution to grandparent caregivers’ experience of positive well-being, specifically life satisfaction. Study findings suggest perception of adequate resources and choice to parent as the strongest predictors of grandparent caregivers’ positive life satisfaction. Implications for practice, policy, and research are provided. Methods to increase and support positive grandparent caregiver well-being will be discussed.
Theme:Public Health Policies and Practices
18:45-19:45 Conference Welcome Reception / Recepción de Bienvenida - The Graduate Hotel Berkeley

Common Ground Research Networks and the Health, Wellness & Society Conference will be hosting a welcome reception at the the conference hotel, the Graduate Hotel Berkeley, at the end of the first day. All delegates are welcome to attend and enjoy complimentary light refreshments. This is an excellent opportunity to connect with and get to know your fellow international delegates.

Common Ground Research Networks y el Congreso de Salud, Bienestar y Sociedad celebran una recepción de bienvenida en el hotel del Congreso the Graduate Hotel Berkeley, al final del primer día. 
Únase a nosotros, a los plenarios y a los ponentes del congreso para disfrutar de bebidas, aperitivos y una buena ocasión para conversar.

Sep 20, 2019
08:30-09:00 Conference Registration Desk Open / Mesa de inscripción abierta
09:00-09:15 Daily Update / Noticias del día - Dr. Phillip Kalantzis-Cope, Chief Social Scientist, Common Ground Research Networks, United States
09:15-09:45 Plenary Session / Sesión plenaria - Jewlee Gardner, Assistant Director, Health Promotion & Wellness, Division of Student Affairs, San Francisco State University, San Francisco, United States

"Responding to Food Insecurity, Housing Crisis, and Health at San Francisco State University"

Jewlee Gardner is a public health practitioner with deep experience in school-based health, and the development and implementation of health promotion and preventative health programming. As the Assistant Director for Basic Needs Initiatives, Jewlee collaboratively leads San Francisco State University’s response to food insecurity and housing instability. Jewlee believes that in order for students to survive, thrive and reach their full potential at San Francisco State, they need access to stable, meaningful and dignified fundamental resources including quality food and housing.
09:45-10:15 Garden Conversation / Charlas de jardín

Garden Conversations are informal, unstructured sessions that allow delegates a chance to meet plenary speakers and talk with them at length about the issues arising from their presentation. When the venue and weather allow, we try to arrange for a circle of chairs to be placed outdoors.

Las charlas de jardín son sesiones informales no estructuradas que permiten reunirse con ponentes plenarios y conversar tranquilamente sobre temas derivados de su ponencia. Cuando el lugar y el clima lo permiten, se realizan en el exterior.
10:15-11:55 PARALLEL SESSIONS
Plenary Room Youth Challenges

Addressing Food Insecurity and Health at San Francisco State University
Jewlee Gardner, Assistant Director for Basic Needs Initiatives, Health Promotion and Wellness, San Francisco, CA, United States
Karen Boyce, Director, Health Promotion and Wellness, San Francisco, CA, United States

Overview: In 2018 the CSU system released a report revealing 41.6% of students identified as food insecure. Join this presentation to learn how San Francisco State University took action to address food insecurity among students through innovative campus initiatives including, a student-run food pantry, leftover food notification app, Feed a Gator meal donation program and CalFresh enrollment assistance. Pulling from San Francisco State's success in addressing food insecurity among a highly diverse student population in a large urban University, participants will have the opportunity to identify realistic strategies they can implement within their organization to support food security.
Theme:Health Promotion and Education

AIDS Online International: HIV/AIDS Education, Prevention and HIV-Related Risk Behaviors of Student Participants
Sharron Jenkins, Associate Professor of Chemistry, Chemistry/Biology, Georgia Gwinnett College, Lawrenceville, GA, United States
Overview: In the United States, one in four new HIV infections are among youth ages 13-24 and globally AIDS is the second leading cause death among young people ages 10-24. Studies show that low HIV and sexual health knowledge is a key barrier to reducing HIV infections among youth. In this study, we describe the impact of an online college-credit HIV/AIDS course on student HIV-related risk behaviors, attitudes, beliefs, and knowledge of HIV. The course, entitled AIDS Online International (AOI), was offered at Purdue University Northwest over a period of six years and 18 consecutive semesters (Spring 2010 – Fall 2015, 943 students). All students participated in an online pre/post-course survey (PreCAS, PostCAS). Using a custom textbook and the Blackboard learning platform, students participated in five months of in-depth activities/studies including HIV prevention, transmission, testing, treatment, the science of HIV disease, drug therapy, the global impact of HIV/AIDS, and more. After taking AOI, students reported 1) more HIV prevention discussions with sexual partners (PreCAS-13±7%, PostCAS-24±10%) and peers (PreCAS-19±6%, PostCAS-51±10%), 2) more reluctance in having unsafe sex (PostCAS-80±7%), 3) a change in behaviors that placed them at risk of infection (PreCAS-23±9%, PostCAS-42±7%), 4) confidence in how to prevent HIV infection (PreCAS-23±6%, PostCAS-78±7%), 5) increased belief that HIV causes AIDS (PreCAS-75±11%, PostCAS-90±6%), and 6) increased willingness to care for a relative with HIV (PreCAS-66±8%, PostCAS-81±9%). Overall, the course had a positive impact on student risk behaviors, and AOI has proven to be a viable and sustainable model in HIV/AIDS education and prevention strategies.
Theme:Health Promotion and Education

Sexual and Reproductive Health Services for Teenagers
Busisiwe Nkala Dlamini, Lecturer, Social Work, University of the Witwatersrand, Johannesburg, Gauteng, South Africa
Overview: The delivery of health care services directed to young people has become a topic of increasing interest especially in the context of sexual and reproductive health (SRH). The national adolescent friendly clinics initiative (NAFCI) in South Africa based its development and implementation on the fact that offering services through public sector is the accessible and sustainable approach. The study explored perceptions of teenagers regarding their expectations of youth friendly services responsiveness to their sexual and reproductive health needs. Six focus groups and 198 surveys were conducted with boys. Survey results indicated the need for service that is closer (39%), offer services required by teenagers (20%), convenient (16%), other (10%) is the only service they know (9%), confidentiality is ensured (7%) and staff is friendly (6%). Focus group discussions were of the opinion that the conventional method of services delivery in the form of clinic and youth centres is no longer suited to meet their needs. They desire services to be ‘within their reach’, and to ‘come closer to people’. These findings indicate that participants have ideas and aspirations of a services that will reach young people and not young people reaching the services. Clearly a responsive health care programme can provide substantial benefits to the well-being of teenagers such as preventing unintended teenage pregnancy and will benefit the individual, society and future generations. Therefore, there is a dire need to transform the current service delivery model and explore other available avenues to ensure that health services reach teenagers.
Theme:Public Health Policies and Practices

The Effects of a Community-based Swim Program on Underserved Youth
Daniela Susnara, Graduate Assistant, Kinesiology / Center for Community Based Partnerships, Tuscaloosa, AL, United States
Overview: Drowning is the second leading cause of unintentional injury death among children ages 1 to 14. Within this population, children of minorities, or from underserved communities, are more likely to be subject to these statistics. The fatal drowning rate of African American children ages 5 to 14 is nearly three times that of white children (CDC, 2017). This study aims to assess the effectiveness of an on-going community-based swim program offering short-term swim lessons to an underserved population of children ages 4 to 14. In total, 125 children and their parents agreed to participate in the study and completed the program. All children completed pre and post surveys which measured their knowledge and confidence in water safety. Additionally, all children completed pre and post American Red Cross “Learn-to-Swim” assessments. Upon completion of the program, focus group interviews were completed with all children. Our findings revealed the students successfully improved swim skills and water safety knowledge, while also increasing personal confidence in and around the water. Data from the pre and post “Learn-to-Swim” assessments indicates a significant number of participants improved their swimming ability and skill by at least one “Learn-to-Swim” level. The percentage of children in the non-swimming group declined dramatically by completion of the program. In conclusion, a summer swim program through a community led approach can lead to improved skills, knowledge, and character among children in this study over a short period of time. The findings can be applied to similar groups of children in other underserved communities.
Theme:Public Health Policies and Practices
Room 1 Sustainable Strategies

Designing a Law to Promote the Sharing of Medical and Health Records: Striking a Balance Between Protection of Personal Information and Promotion of Healthcare
Shinto Teramoto, Professor, Faculty of Law, Kyushu University, Fukuoka, Fukuoka, Japan
Overview: The digitalized medical and health records (HR) of citizens are stored in Electronic Health Records (EHR) and Personal Healthcare Records (PHR). The quality of medical care will be improved if physicians can access the past HR of patients. Also, redundant medical examinations will be avoided, which will result in medical cost savings. A user-friendly service that enables citizens to share their HR with their physicians is essential to achieve the aforementioned purpose. The involvement of private businesses is expected to make such service available to citizens. However, recently, many citizens have been frustrated with the collection and control of personal data by the giants of ICT industries, and, in response, governments are establishing rules to regulate collection and handling of personal data. In contrast, sharing HR on the infrastructure provided by private businesses presupposes that these private providers handle medical and health records that fall within the most delicate types of personal data. We have to design and implement laws that promote the sharing of HR while ensuring the protection of personal data. There are a number of issues that need the intervention of laws, to ensure the confidentiality, integrity, availability and portability of HR, compatibility between EHR and PHR, and between multiple PHRs, and to ensure the portability of records between a PHR service provided by one company and a PHR service provided by a different company. The author discusses and proposes the requirements of such laws and proposes a practicable legal design to promote the sharing of HR.
Theme:Public Health Policies and Practices

Patients' Satisfaction with Services at the Polytechnic Ibadan Health Center
Olalere Adegboyega Adeagbo, Director, Medical Services, Health Centre Department, The Polytechnic Ibadan, Ibadan, Nigeria
Overview: The objective of this study was to determine the level of patients' satisfaction with services at the Health Center of The Polytechnic Ibadan. A cross-sectional survey was conducted 400 staff and students selected by systematic random sampling. Majority were satisfied in interaction with personnel. There was no significant association between gender, age, level of education and occupation with the overall level of satisfaction with services. However, there were significant associations between level of education, accessibility (P<0.05), and waiting time (P<0.05). Though patients were generally satisfied with services offered, dissatisfaction was expressed regarding inadequacy of drugs and toilet facilities. Recommended for the center were: drug revolving fund, periodic seminars for personnel, improved electricity supply and toilet facility while recognizing patients' feedback in evaluating health services at the center.
Theme:Public Health Policies and Practices

Transgender Persons’ Health Care Experiences: The Role of Stigma, Societal Norms, and Knowledge
Sarah Ratcliffe, Researcher, School of Psychology, The University of Sydney, Sydney, Australia
Overview: Transgender individuals experience an extensive range and degree of disadvantages that can be attributed to stigmatization. This project set out to explore how transgender individuals in the Netherlands experience stigma using a general inductive approach. The project aimed to understand the contexts, manifestations, and consequences of stigmatizing experiences of transgender individuals. Inductive thematic analysis of semi-structured interviews and one focus group volunteer transgender individuals (n=26) living in the Netherlands found health care to be one context where stigma is experienced. Structural, interpersonal, and intrapersonal stigma was reflected upon and reported to negatively impact help-seeking and to prolong suffering. Societal gender norms, transgender stereotypes, and poor understanding of transgender identities were identified to influence experiences. Identification on the gender spectrum (e.g., gender non-binary compared to binary) was found to be associated with differences in experiences. Positive experiences were also found and provide insight into approaches for improving health care for transgender individuals. This research suggests that research investigating transgender individual’s experiences in health care should pay attention to knowledge and societal constructs. Overall, stigma clearly impacts the lives of transgender individuals and should be a target for intervention.
Theme:Public Health Policies and Practices

Multi-disciplinary Approach to Vigilantly Avert Drug-induced Metabolic Syndrome
Dr. Matilda Stelzer, Research Health Care Specialist, Research, Palo Alto, CA, United States
Saba Rizvi, National Institutes of Health Precision Medicine Initiative, United States
Kristine Lalic, Research and Development, Palo Alto, CA, United States
Sadaf Ahmed, Veteran Affairs Palo Alto Health Care System, Palo Alto, CA, United States
Rona Margaret Relova, Palo Alto, CA, United States

Overview: Several cardio-metabolic risk factors have been linked to certain antipsychotic treatments and Veterans with mental illness are at increased risk of developing cardiovascular disease. Metabolic monitoring among patients using antipsychotics has been shown to be inadequate despite the release of several guidelines designed to guide clinicians on the optimal use of antipsychotics and the consideration of cardio-metabolic risk. Recent data indicate a higher prevalence of nearly 35 percent of all adults developing metabolic syndrome. The concept of this study is to evaluate the prevalence of antipsychotic-induced metabolic syndrome and provider’s sensitivity to cardio-metabolic disorders in their selection of antipsychotic medications. We identified patients taking antipsychotic medications prescribed by providers at VAPAHCS from January 1, 2014 to December 31, 2015. We then used patient health records to collect the following clinical information: laboratory values; vital signs; medications for hypertension, dyslipidemia and diabetes; and antipsychotic medications. Patterns of providers’ prescribing practices (like timeliness of medication changes) given abnormal lab values and physical measurements were analyzed. As preparatory for research, the proponents of this study collected 1,529 charts to review. An interdisciplinary approach to improve health outcomes involving psychiatrists, pharmacists, nutritionists, physical therapists, case managers working together to vigilantly monitor patients who are on anti-psychotic medications may prove to be the most effective preventive model. A team of diverse specialties coordinating toward a common goal to avert well-documented and modifiable risk factors such as poor diet, physical inactivity, and obesity would be most beneficial for patients.
Theme:Interdisciplinary Health Sciences
Room 3 Community Links

Gender Differences for Adults Who Practice Yoga in the United States and Canada
Dr. Brandon Eggleston, Professor of Community Health, Community Health, National University, Plymouth, IN, United States
Casey Mace, Assistant Professor, Central Washington University, Ellensburg, WA, United States
Michelle Beaupre, Graduate Research Assistant, Saybrook University, Oakland, CA, United States

Overview: Yoga is a mind-body activity that has grown in popularity over the past several decades in the United States and Canada. Originally, yoga was practiced by only men in India, but as it came to the West it became especially popular with women. In recent years though, more Western men have begun to practice yoga, but little research is known on the difference in benefits and challenges associated with practicing yoga today in the United States and Canada. This study surveyed 700 adults who regularly practice yoga and included a sample with 40% male participants and 60% female participants. While both men and women practice to improve flexibility and relaxation, women were more likely to report the benefits of strength, clearer skin, weight loss, and. Women who practiced hot yoga were more likely then men to report the adverse outcomes of confusion, dizziness, and dehydration. Men were less likely to believe yoga is a spiritual activity, and practiced primarily to improve flexibility and relaxation.
Theme:Health Promotion and Education

Estonia’s e-Health System: A Real Challenge for the Elderly
Dr. Marianne Paimre, PhD Student/Lecturer, School of Information Technology, Tallinn University, Tallinn, Estonia
Overview: Estonia, sometimes called the “European Silicon Valley,” is often referred to as one of the most advanced countries in the field of information technology where citizens have digital access to all public services. These services include e-voting, e-tax board, e-business, e-banking, e-ticket, e-school, university via internet, the e-governance academy, as well as the release of several mobile applications. E-health is a prime example of such state-of-the-art programmes set out to improve public health by offering new preventive measures and increasing the awareness of patients. My presentation focuses on the ability of elderly people in Estonia to benefit from the highly acclaimed national e-health system and to retrieve health related information from the online environment. A focus group interview with the senior citizens that was the first step to study patterns of online health information behaviour of Estonians elderly revealed that elderly often lack the skills and experience necessary to search for online health information as well as cope with e-health solutions. My study confirmed that, the wholesome public image of Estonia’s e-success does not always correspond to the reality. Fortunately, the first steps have been taken nationally to eliminate the digital divide, for example, the government has allocated millions to teach the elderly to use the internet and IT tools. In addition to improving the lives and e-literacy among senior citizens, I suggest bolstering the role of health and social workers as well librarians to bridge the digital divide in the realm of online health information.
Theme:Public Health Policies and Practices

Examining the Mental Health, the Reasons, and the Coping Strategies of Individuals Remaining Single in Indonesia
Karel Himawan, Editor-in-Chief, Academic Journal, Universitas Pelita Harapan, Herston, Brisbane, Australia
Matthew Bambling, Senior Lecturer, The University of Queensland, Queensland, Australia
Sisira Edirippulige, Senior Lecturer, The University of Queensland, Queensland, Australia
Mair Underwood, Lecturer, The University of Queensland, Queensland, Australia

Overview: Despite being in the society where marriage is a norm, the proportion of single adults in Indonesia consistently grows in the last four decades, with limited academic attention. Living in the society that highly favors marriage, singles are undervalued and they experience considerable marriage pressures. This study aims at examining the mental health profile of Indonesian singles along with their reasons on remaining singles and their coping strategies. Guided by the Theory of Need to Belong (Baumeister & Leary, 1995), singles’ coping strategies are focused on two alternative relationships: social- and religious- based relationship. A mixed-method design was applied through an online survey to 635 heterosexual young adults aged 26-50 years (M = 31.49; SD = 5.49). Results showed that most participants were involuntarily singles. When compared to marrieds, singles were significantly less satisfied with life, more lonely, and more stressful. Religiosity levels were the best predictor of singles’ life satisfaction, albeit both religiosity and social support were significant predictors. Reasons on remaining single were explained through four themes: compliance to the socially constructed ideal marital relationship, various perceptions of marriage, the degree of readiness to marry, and situational shortcomings. Indonesian singles face considerable societal pressures that influence their well-being. Adopting religious coping strategy and having sufficient social support are proven to be effective to mitigate challenges of being single. The study outcome is essential for policy makers and mental health practitioners in adjusting cultural perceptions toward the universality of marriage and to focus on destigmatization strategies toward singles.
Theme:Interdisciplinary Health Sciences

Community Awareness in Improving Access to Mental Health Services in Bali
Cokorda Lesmana, Lecturer, Psychiatry, Udayana University, Denpasar, Indonesia
Niko Tiliopoulos, Lecturer, The University of Sydney, Sydney, Australia
Annemieke Bikker, Lecturer, University of Edinburgh, Edinburgh, United Kingdom

Overview: Chronic mental disorders’ treatments in Bali, and generally in Indonesia, tend to use the typical hospital-based, mental health institution approach. These institutions are usually psychiatry wards in general hospitals, or, when present in rural areas, sections of community healthcare centers that collaborate with the general hospitals. Changing attitudes and behavior is recognized to be a complex process, with simple exchange of information or knowledge not being an inevitable predictor of behavior change. A further common barrier in identifying and treating mental disorders worldwide is the lack of awareness about them within communities, with stigma towards, and discrimination against, people with mental health problems being widespread. This is important, because effective awareness-raising campaigns can result in increased presentation of persons with mental illness to primary health care. A further common barrier in identifying and treating mental disorders worldwide is the lack of awareness about them within communities, with stigma towards, and discrimination against, people with mental health problems being widespread. Regrettably, this approach was never adopted by the Indonesian or Balinese mental health systems, and outreach services have not been nationally promoted as a means of improving access and mental health outcomes. As a consequence, outpatients are not normatively followed up, nor do they receive any further course of medication or counseling once discharged from the hospital.
Theme:Health Promotion and Education
11:55-12:45 Lunch / Almuerzo
12:45-13:30 PARALLEL SESSIONS
Plenary Room Focused Discussions / Discusiones enfocadas

Social Justice and the Field of Mental Health: Embracing the Fifth Wave of Counseling
Robyn Bryers, Adjunct Faculty, Education, Prescott College, Prescott, AZ, United States
Overview: As the experiences of marginalized people are drawn into public discourse how do mental health professionals embrace a social justice orientation to their work as helpers? In this discussion, we define social justice and explore the historical roots and modern-day application of the social justice. We will explore the questions, “what does social justice have to do with mental health?” and “why should it matter to me?” We will come to understand the nature of oppressive systems that social justice practitioners are working to dismantle and how these same systems show up in the field of mental health. We will understand the difference between social justice and multiculturalism and recognize how this distinction informs our work as helpers and service providers. By understanding the relationships between power and oppression that exists in our society we can bring this awareness into our work and reduce the presence of harmful discourse within the helping experience.
Theme:Interdisciplinary Health Sciences

Promoting Wellness through Patient-Centered Prescribing Practices and Monitoring
Kristine Lalic, Research and Development, Palo Alto, CA, United States
Sadaf Ahmed, Veteran Affairs Palo Alto Health Care System, Palo Alto, CA, United States
Matilda Stelzer, Clinical Research Coordinator, VA Palo Alto Healthcare System
Saba Rizvi, National Institutes of Health Precision Medicine Initiative, National Institutes of Health Precision Medicine Initiative, United States
Rona Margaret Relova, Palo Alto, CA, United States

Overview: Mental health providers at Veterans Affairs Palo Alto Healthcare System (VAPAHCS) play a vital role in promoting the wellness of Veterans seeking mental health services through prescribing practices and education of healthy lifestyles, increased physical activities, well-balanced nutrition, weight management, and monitoring of blood glucose levels to prevent metabolic syndrome. The concept of this study is to evaluate the prevalence of antipsychotic-induced metabolic syndrome and provider’s proactive engagement with patients to mitigate cardiometabolic disorders. “Risk of Metabolic Syndrome Among Veterans Taking Antipsychotics” is a proposed retrospective pilot study that will utilize sociodemographic and clinical data extracted from medical records of Veterans seeking mental health services at VAPAHCS from January 1, 2014 to December 31, 2015. Prevalence will be measured by the presence of three of the five criteria of metabolic syndrome identified by the American Heart Association. Patterns of providers’ prescribing practices, such as timeliness of medication changes given patients’ abnormal lab values and physical measurements, will be analyzed. As preparatory for research, the proponents of this study collected 1,529 charts to review. Implications: Cardiometabolic disorders are the leading cause of mortality and morbidity among patients with mental illnesses. Furthermore, the use of second generation antipsychotics (SGAs) presents a significant clinical dilemma, due to the association of SGAs with obesity, hyperglycemia, and dyslipidemia, which are hallmarks in the diagnosis of metabolic syndrome. Knowledge from this study will be fundamental in the implementation of best practices in prescribing medications and promoting wellness of mental health patients at VAPAHCS.
Theme:The Physiology, Kinesiology and Psychology of Wellness in its Social Context

Autoimmunity: An Unacknowledged Public Health Crisis in Need of Prevention
Bonnie Feldman, CEO, Los Angeles, CA, United States
Overview: Autoimmune diseases affect 50 million individuals in the US (16% of the population), more than cancer and cardiovascular disease combined. What’s more is that 75-80% of autoimmune patients are women, and it is the 8th leading cause of death among women. In fact, there are 7.6 million more with the autoimmune disease than breast cancer. This is an unacknowledged public health crisis where young adults are most at risk for 7 of the more than 80 autoimmune diseases--type 1 diabetes, lupus, Crohn's, multiple sclerosis, psoriasis, Graves disease of the thyroid and rheumatoid arthritis. These autoimmune diseases are costing the US healthcare system for more than 100 billion annually. How did this happen? Like cancers 50 years ago, autoimmune diseases are not generally grouped into a common category; instead, these more than 80 diseases are scattered among various body systems and specialists. Despite the increasing prevalence, these diseases remain under-recognized and underserved and are in desperate need of public health interventions. What are we going to do about it? This talk will outline a three-step solution to acknowledge that autoimmunity is a public health crisis. We wil discuss collecting incidence and prevalence data that aggregates the diseases, and creating centers of excellence to bring the collaboration of specialists to one location.
Theme:Public Health Policies and Practices

Wellness Coaching to Promote and Increase Physical Activity among Middle Aged to Older Adults
Andrea Stewart Roa, Founder & CEO, Independent Business, Compliments, Frisco, Texas, United States
Overview: This paper discusses how wellness coaching can promote and increase physical activity among middle aged to older adults, addressing some of the challenges faced by this population based on research and survey data collected. The discussion will apply the biopsychosocial model to wellness coaching and explore factors that can influence physical activity as people age. The session will also discuss application, impact and recommendations for using wellness coaching to promote physical activity and to reduce the risk of suffering negative health consequences to age better.
Theme:Health Promotion and Education

Profile and Demands in Mental Health of Undergraduate Students: The Case of Campinas State University Attended in Initial Assessment at the Psychological and Psychiatric Assistance Service
Tânia Maron Vichi Freire de Mello, Psychiatrist/Director, Student Psychologic an Psychiatric Assistance Sevice S, Campinas, São Paulo, Brazil
Milena Bortoti, Resident Doctor, Psychiatry, Universidade Estadual de Campinas, Sao Paulo, Brazil
Daniel Montatnini, Resident Doctor, Psychiatry, Universidade Estadual de Campinas, Sao Paulo, Brazil
Camila Truzzi, Resident Doctor, Psychiatry, Universidade Estadual de Campinas, Sao Paulo, Brazil
Amilton Dos Santos Junior, Professor of Psychiatry, Universidade Estadual de Campinas, Sao Paulo, Brazil
Adriane Pelissoni, Educational Advisor, Student Affairs, Universidade Estadual de Campinas, Sao Paulo, Brazil

Overview: It is known that cultural and social issues play an important role in mental disorders. In the case of university students, there is a growing interest and concern for the mental health of these individuals. The state university of Campinas (Unicamp) is a public institution, with approximately 37,494 students (19,869 undergraduate and 17,625 graduate). Unicamp was considered, in 2017 and 2018, the best university in Latin America, according to the Times Higher Education. Unicamp has a specialized mental health service for students, the psychological and psychiatric student support service (SAPPE). In this study, it was chosen to collect data covering the period from 01/01/2016 to 12/31/2017. Objectives: to describe and analyze the demands and profiles of undergraduate students at unicamp attended by SAPPE. Subjects and methodology: collecting data from the initial assessment records contained in the medical charts of undergraduate students, carried out by SAPPE psychologists between 2016 and 2017. The requirements of the research ethics committee of the University of medical records research where retrospectively respected. Data were analyzed using the computer program SAS (statistical analysis system) for Windows version 9.2. Results and conclusions: a higher percentage of women were attended in all of the campuses served by SAPPE and the most represented area was humanities and arts. At the Campinas campus, the main complaints observed were affective-emotional, followed by academic, family and psychosomatic. Data related to violence against oneself were also quite relevant.
Theme:Public Health Policies and Practices

Addiction and Mindfulness
Dhruti Patel, Educator, Family and Consumer Sciences, University of Maryland
Overview: This paper discusses the background on ways mindfulness affects addiction and recovery process. The second facet of the discussion will focus on the current applied research project implemented in partnership with two local Circuit Courts to the Drug Court participants. The focused discussion will also discuss methodology, application, impacts, recommendations, and future research on using mindfulness in helping participants with addiction issues.
Theme:Health Promotion and Education

Turning Health Promotion into Community Action
Brian Wegner, Master of Public Service Candidate, University of Arkansas Clinton School of Public Service, Little Rock, AR, United States
Jason Lochmann, Master of Public Health/Master of Public Service Candidate, University of Arkansas Clinton School of Public Service, Little Rock, AR, United States
Emily Loker, Communication Ph.D Candidate, University of Colorado Boulder, Boulder, CO, United States
Christina Standerfer, Associate Professor and Faculty Director of Office of Community Engagement, University of Arkansas Clinton School of Public Service, Little Rock, AR, United States

Overview: This discussion will focus on ways to move citizens to action on a public health issue. The issue we address specifically is Type 2 Diabetes, although we are interested in generating ideas concerning citizens' participation in public health issues and policy more broadly. We will start the discussion by presenting a matrix of factors relevant to community readiness to engage in action related to public health issues. This matrix was developed from analysis of qualitative and quantitative data gathered from over twenty mainly rural communities across a Southern state in which high rates of Type 2 Diabetes prevail statewide. This matrix includes factors such as the intersection of community literacy with health literacy, the ability to visualize a different collective future, and citizens' perceptions of the salience and importance of the issue being addressed. Specific data from our study will be presented to illustrate the usefulness of the matrix followed by a wider discussion of its potential to inform how to engage citizens more broadly on public health issues. Traditionally, the burden of noncommunicable diseases, such as Type 2 Diabetes, has fallen solely to the individual that is diagnosed. Understanding factors that inhibit both individual and collective action related to these diseases can inform practitioners in regard to best ways to set realistic expectations for health promotion and education.
Theme:Health Promotion and Education

Mindfulness, Meditation, and Yoga Practices for Musicians
Amy Pollard, Associate Professor of Bassoon, Music, University of Georgia, Athens, United States
Overview: This session explores different aspects of mindfulness, meditation, and yoga and how these practices can improve the performance of musicians. The high pressure demands of practicing and daily performance can create challenges of excessive stress, depression, tension, and anxiety. Using breathing techniques, progressive muscle relaxation, different types of meditation, and yoga practice, student and professional musicians are able to perform more effectively and confidently, and also experience less anticipatory anxiety before performances. This session highlights the connection between mind and body that is essential to music performance and can be enhanced by developing a better connection through meditation and yoga.
Theme:The Physiology, Kinesiology and Psychology of Wellness in its Social Context

Mentoring as a Health Literacy Program to Reduce Maternal Mortality Rate in Indonesia
Sri Indra Kurnia, Student, Master of Public Health, The University of Queensland, Queensland, Australia
Overview: Reducing maternal mortality rate is the hardest problem not only in Indonesia but also in most countries in the world (Edna, 2011). Every year, around 20,000 women in Indonesia experience death because of complications in labor (Stalker 2008). There are six most common causes of this problem: bleeding 42%, eclampsia 13%, abortion 12%, infection 10%, prolonged labor 9%, and other causes 15% (Rachman 2007). Lack of knowledge and low literacy on health particularly about the importance of periodic checks is one of the contributing factors bearing this challenge. Other problems related to biological, psychological, social, spiritual, and cultural context may worsen the health status of pregnant women. Therefore, an effort to reduce maternal mortality rate is inevitably needed. Mentoring program is one of the viable solutions to tackle this problem and will help to eradicate health illiteracy as health education is a basic need for pregnant women. This program is designated for Indonesian women with the sense of strong cultural, social, and spiritual concept. The mentoring process will be in collaboration with healthcare providers and local leader to persuade pregnant women and to maximise the involvement. The purpose of this study is to explore the successful opportunity of a mentoring program. The method used is direct observation and study literature; the direct observation is used to get the main problem from the primary data, while study literature is used to determine the problem solving according to theories related to Maternal Mortality Rate (MMR), childbirth complications, mentoring concept, and holistic care.
Theme:Health Promotion and Education

Advancing Health Communication through Collaboration
Dr. Uchenna Onuzulike, Assistant Professor, Communication, Bowie State University, Bowie, United States
Overview: Health communication is a fast-growing track, major, course, and concentration in communication departments across universities in the United States. Yet not all the communication departments have engaged in one of the above, especially in terms of collaboration with other departments or disciplines. Thus, the aim of my presentation is to stimulate discourse and feedback on how to advance health communication through collaboration. This focused discussion will also highlight the benefits of educating students on the importance of health communication, building collaborative courses, research, and teaching among various departments and disciplines.
Theme:Interdisciplinary Health Sciences
Foyer Poster Session / Pósteres: Foyer

Addressing Tobacco-related Health Disparities in California: Lessons Learned from Statewide Efforts to Restrict Flavored and Menthol Tobacco Products
Sarah Hellesen, Research Assistant, Tobacco Control Evaluation Center, University of California, Davis, Davis, California, United States
Overview: Smoking remains the leading preventable cause of death in the United States. While overall rates of traditional cigarette smoking have decreased in recent years, the use of flavored tobacco products among young people and new smokers has increased. Flavored products are more attractive to youth and are often perceived as less harmful. Menthol cigarettes are also used disproportionately by youth, women, the LGBT population, and communities of color. Prohibiting the sale of flavored products is an important step toward eliminating tobacco-related health disparities in the U.S. In 2014 and 2017, local health agencies funded by the California Tobacco Control Program conducted public opinion polls and key informant interviews to ascertain public sentiment around prohibiting the sale of flavored tobacco. The Tobacco Control Evaluation Center analyzed this data and compared the results from both years. TCEC also analyzed evaluation reports from projects that advocated for policies restricting flavored tobacco in their jurisdictions during these years. The strategies used by these agencies, challenges encountered, and lessons learned can inform future work in this area of tobacco control. Statewide data shows both public and policymaker support for prohibiting flavored tobacco has increased from 2014-2017, with a third wave of data collection planned for 2019. Evaluation design to accurately inform policy implementation activities and assess the impacts of interventions is crucial to the success of these efforts. Extensive assessment of the community's attitudes and beliefs to guide successful campaigns, and the mobilization of youth to self-advocate for restrictions on tobacco sales are also recommended.
Theme:Public Health Policies and Practices

Enhancing Students’ Understanding of Health, Well-being, Illness Risks, and Possible Health-related Disparities Using Student-conducted, Inter-disciplinary Empirical Projects
Dr. Laurette Morris, State University of New York College at Old Westbury, Old Westbury, NY, United States
Overview: Students in disciplines such as psychology, sociology, and public health study health concerns within individuals, communities and societies. Such study includes prevalence and incidence findings for physical and mental illnesses, along with risk and protective factors, as well as disparities in health and in health care or access to it. Empirical evidence gathered by students may serve: (1) to engage students’ interest in various health-related topics; (2) enhance their understanding of specific topics; and (3) allow them to gain hands-on experience in the scientific investigation process. Selected qualitative and quantitative procedures are recommended, depending on the course level, time constraints, and students’ skill sets. They also (4) learn to evaluate and better appreciate the pros and cons of different research methods, making them better consumers of others' health-related research and findings as well. Students may determine their own topics for investigation as well as address specific questions posed by instructors or consistent with course agenda. Standardization of procedures chosen should be maximized to increase the reliability, validity and overall utility of data collected. Findings from students’ projects may be used to support and supplement material presented in courses, be incorporated into student papers, other assignments and course exams, as well as facilitate class discussions. Examples of student projects, along with sample findings are presented.
Theme:The Physiology, Kinesiology and Psychology of Wellness in its Social Context

Gender Differences in Self-esteem and Experiences of Discrimination
Monideepa Becerra, Associate Professor, Health Science, California State University, San Bernardino, CA, United States
Overview: I assess role of gender, discrimination, and distress on self-esteem. General education courses were used to conduct a quantitative survey among 308 students. Being female was associated with lower self-esteem and while psychological distress and self-esteem were related, a higher burden was noted among females when it came to overall self-worth while self-satisfaction was low among males with such distress. Discrimination was significantly related to low self-esteem among males, but not females. Conclusion: Gender-specific self-esteem coaching is needed among college students.
Theme:Health Promotion and Education

The Cost Sustainability of a Behavioral Economic Intervention to Improve the Availability of Healthy Food to Food Shelf Customers
Johnson Gustafson, Community Partner Program Administrator, Stanford Prevention Research Center, Stanford School Of Medicine, Stanford, CA, United States
Overview: Behavioral economic interventions have shown promise to positively influence food-shelf environments, making the healthy choice the easy choice. Knowing this, the question becomes whether it’s cost-effective for food-shelves to implement such interventions. This study examines cost sustainability of a behavioral economics model, SuperShelf. By examining the relationship between dollars spent on food, quantity provided to customers, and nutritional quality of the food shelves are ordering, we will demonstrate the cost sustainability of SuperShelf. Methods: SuperShelf was implemented in two food shelves: intervention A and control A (located in the inner city) and intervention B and control B (located in the suburbs). For analysis, food shelf invoices were collected from two main Minnesota food banks pre-and-post SuperShelf intervention. The invoices, pre-and-post, were collected during the same six-month period (January-July) to control for any seasonality effects on food cost and availability. Using the invoices we calculated cost per person per month (pppm) and pounds of food pppm. All invoices were scored on the nutritional quality of the food they ordered using the Food Assortment Sorting Tool (FAST). Food shelves that completed the SuperShelf transformation did not increase costs pppm and were able to provide customers with more food per month than before the intervention. Additionally, intervention sites FAST scores increased, suggesting that post-intervention they were providing healthier foods. Environmental assessments indicated that SuperShelf was delivered with greater fidelity at intervention site A. Results from intervention A indicate that SuperShelf is a cost sustainable behavioral economics model.
Theme:Public Health Policies and Practices

Men's Preconception Health: Social and Economic Factors
Dr. Jennifer Pearce-Morris, Assistant Professor of Sociology, Humanities, Social Sciences, Social Work & Education, North Branch, NJ, United States
Overview: Men’s preconception health is important for the health outcome of a child. A variety of factors for men help produce healthier children, such as men having less exposure to environmental toxins, alcohol, tobacco, illicit drugs, unhealthy foods, and type-II diabetes complications prior to conception. Much of the public is still unaware of this information, and federal health agencies have made it a goal to increase awareness of and address barriers to men’s preconception health engagement. This study contributes by examining the following: first, what are some positive, health-related practices that young men currently do when they become likely to conceive a child? Second, what social and economic factors are associated with whether or not someone engages in positive, health-related practices? Data come from public-use files of the National Longitudinal Study of Adolescent to Adult Health. The sample consisted of men who went from either having no sex or sex with pregnancy prevention to later engaging in sex without pregnancy prevention with a romantic or sexual partner. From the time one to time two, men increased exercise and decreased marijuana use (if previously using marijuana), however, cigarette and alcohol use did not significantly change. Respondents with higher education, or who were taught about health and pregnancy in school during adolescence, were more likely to increase exercise. As relationship commitment level increased, marijuana use declined. Lack of physician visits and having a job with potential environmental toxins were also challenges for some respondents. Addressing economic, educational, and environmental factors is warranted.
Theme:Public Health Policies and Practices

Community Collaboration Targeting HIV/AIDS Reduction in Chennai, Tamil Nadu, India
Sujeith Barraza, Graduate Assistant, Department of Community Health Education, Colorado School of Public Health at the University of Northern Colorado, Greeley, CO, United States
Dr. Teresa Sharp, Associate Professor, Colorado School of Public Health at the University of Northern Colorado, Greeley, CO, United States

Overview: In 2015, 143,000 Tamilians were living with HIV/AIDS. Cultural challenges exist that prevent community members from recognizing HIV/AIDS as a problem. Social determinants of health, including government statements and a male-dominated society, are factors that limit harm reduction practices and contribute to HIV/AIDS rates in Chennai. The International Alliance for the Prevention of AIDS (IAPA) collaborated with other non-governmental agencies to conduct 4 focus groups: Men Who Have Sex with Men (MSM) (n=6), Women (n=10), Transgender (n=10), and, Counter Parts/Translators (n=8). Themes within and across focus groups provided ideas to properly address HIV/AIDS in the community. Identified themes included stigma, communication, innovative prevention and intervention methods utilizing technology, and perceptions and actions related to monogamy and safe sex practices. Summary: Local and trusted organizations provide relevant perspectives on HIV/AIDS, are well known among community members, assist with translation and provide engagement with at-risk communities. IAPA’s next steps include operationalizing focus group recommendations through a new campaign; “#KnowTheSelfie” to increase education and behavior changes utilizing social media platforms. Local agencies will assist with dissemination of the campaign thereby increasing the likelihood of success in delivering the message to the populations they serve, and addressing the risks that have increased the rates of HIV/AIDS in these communities.
Theme:Public Health Policies and Practices

Smartphone-based 478 Breathing Training on Stress and Mood: Possibility of Self- stress Management Strategy
Seongwook Bae, Director, Research and Development, BMBL Research and Development Institute, Taegu, South Korea
Dr. Kyungmi Lee, Professor, FoodTherapy Center, Family Medicine, Seoul, South Korea

Overview: The objective of this study was to verify, in a sample of university students, whether a smartphone-based 478 breathing technique program is capable of improving mood and reducing levels of stress. Eight adult healthy subjects (aged between 25 and 30 years) volunteered for the study. The subjects were submitted in the morning and in the evening daily 478 breathing training for three minutes during one week without practicing any treatment. The psychological state of mood and stress was evaluated using Korean version of Global Assessment of Recent Stress scale (K-GARS), Korean version of Profile of Mood State (K-POMS), while the biological profile of the stress was detected by measuring the heart rate, heart rate variability (HRV) and the salivary cortisol. The results show an improvement of both subjective and objective parameters in all participants after one week training. The results obtained from the present research support the possibility that 478 breathing technique is capable to induce an effective improvement in mood and stress both in terms of self-reported evaluations (GRS and POMS) and of objective parameters, such as heart rate, HRV, and salivary cortisol levels.
Theme:2019 Special Focus: Inclusive Health and Wellbeing

Text to Connect: An Evaluation of a Texting Help Line for Domestic Violence Support Services
Dr. Patti Culross, Assistant Professor, Global Public Health Program, San Rafael, CA, United States
Meghan Kehoe, Division Manager, Center for Domestic Peace

Overview: Texting help lines are becoming more common for social and healthcare services provision. Young adults are more likely to use phones for texting rather than talking and would be the primary audience this service. Young adulthood is also the most common time for the first experience of intimate partner violence, therefore, intervening at this age is critical. Yet an age-appropriate method of assistance is not widely available from domestic violence (DV) services providers. A texting help line aimed at youth was piloted at an established domestic violence services provider in Northern California after a phone help line for youth was not effective. Staff consulted with local DV youth leaders and a national youth-focused DV prevention program, which operates its own hotline, chatline and text line. These conversations informed the decision to pilot a texting help line for youth to provide a more age-appropriate communications bridge to domestic violence services. We will describe the development and operation of the text line and present evaluation data from the pilot year of operation. Data will include the demographics of text help line users, specific types of domestic violence reported, length of text conversations and types of information provided and the services or referrals recommended. These data will allow domestic violence service providers to understand the demographics and types of domestic violence experiences of a youth population previously unreached by conventional phone help lines, and will allow for more targeted interventions designed for youth victims of domestic violence.
Theme:Public Health Policies and Practices

Age and Cause Specific Decomposition of Life Expectancy Growth in Hong Kong from 1987 to 2016
Yan Zheng, PhD, Department of Social Work and Social Administration, Hong Kong, Hong Kong
Overview: During the past few decades, Hong Kong has achieved a remarkable increase in life expectancy and become one of the best life expectancy records in the world. Although there have been many studies discussing the health states of Hong Kong residents, we still know very little about the growth mechanism of life expectancy improvement in Hong Kong. Our study aims to assess contributions of mortality change by age groups and selected major causes of death to the overall life expectancy growth over the period from 1987 to 2016 in Hong Kong. Decomposition methods were used to quantify the impacts of age structure and leading causes of death on the life expectancy growth in Hong Kong. Findings of the study showed that the improvement of Hong Kong life expectancy from 1987 to 2016 was mainly attributable to the declined mortality from chronic diseases of adult groups being shifted to the older population. However, this positive contribution was partly offset by the negative contribution of increase of deaths from pneumonia. Besides, the escalating prevalence of many chronic diseases among the younger age groups has caused a noticeable loss in life expectancy in recent years. In terms of external causes of death, the declining mortality of accidents has also exerted positive contribution to the health improvement in Hong Kong. Therefore, although Hong Kong has achieved significant performance in improving life expectancy, much is still needed to be done to sustain its continuous improvement.
Theme:Public Health Policies and Practices

Prediabetes and Diabetes Screening on Wheels in Solano County California
Clipper Young, Assistant Professor and Clinical Pharmacist, College of Osteopathic Medicine, Touro University California, Vallejo, CA, United States
Overview: One in three Americans has prediabetes, and 90% of those who have this condition do not know it. One in seven Americans has diabetes (14% of the U.S. adult population); 10% know it, and 4% are undiagnosed according to recent CDC data. To prevent diabetes and increase the equal access to health care screening, Touro University California in Solano County California has created and implemented a community outreach program: Mobile Diabetes Education Center (MOBEC). This is a community effort with Sutter Health, Solano County Department of Public Health and others to enhance health literacy in at-risk and homeless populations. With the belief that an increased percentage of the homeless and at-risk populations can be screened for prediabetes/diabetes, MOBEC has been taking the care/screening/education to them. Our screening procedure includes asking residents to complete the CDC Prediabetes Screening Test; performing a fingerstick test if their screening score is 9 or above; obtaining a hemoglobin A1c if the glucose level is within the prediabetes/diabetes range. The outcomes of this program are: to identify those who have the condition; to enroll those who have the condition to either the Diabetes Prevention Program or the Diabetes Education and Empowerment Program. Solano County residents have returned to MOBEC for screenings and/or additional education, and an increased number of community partners has asked MOBEC to attend community health events. Although MOBEC is still in its early phase, the data collected have shown the effectiveness of this concept.
Theme:Health Promotion and Education

Goochland County Community Health Assessment: Qualitative Data and Health Topic Prioritization
Caitlin Hodge, Population Health Manager, Chickahominy Health District, Population Health, Ashland, VA, United States
Overview: The Community Health Assessment (CHA) for Goochland County, Virginia is the initial phase of a process to evaluate and improve the health outcomes and opportunities of the whole community. The assessment is intended to serve as a guide for those seeking to improve community health and make impactful change in the County. Quantitative data was collected and analyzed to better understand the issues and barriers influencing the population’s health. Additionally, multiple activities were conducted to add context, perspective, and real-life examples of health determinants from the community. These activities included: Community Listening Sessions to learn the importance of health-related topics from the perspective of community members; a Forces of Change Assessment with County leadership to identify factors influencing health in the community currently and in the future; Windshield Surveys to observe the built environment, resources, and services within each of the County’s five districts; Root Cause Tree analyses to explore conditions that may contribute to local health disparities; and multi-voting to select health priorities with the CHA Steering Committee by defining, categorizing, and selecting health indicators most relevant to the well-being of the community. The assessment uncovered areas that would benefit from focused action to promote health equity: limited access to affordable and high-speed internet; a scarcity of local mental health care providers; limited transportation options for those without a personal vehicle; and limited affordable housing options in the County. Developing strategies for breaking down barriers to health equity will be the focus during the Community Health Improvement Plan.
Theme:Public Health Policies and Practices

Sexual Abuse among Children: Victims’ and Perpetrators’ Characteristics
Mona Hassan, Faculty, Nursing, Prairie View A&M University, Houston, United States
Overview: Most child sexual abuse research is based on the recollections of adults whose perspectives and biases might hinder identification of abuse risk factors. This study examined children’s immediate post assault reports. A convenience sample of health records of 95 children ages 6 to 14 treated in emergency departments from 2006 to 2010 was examined. Child victims’ mean age was 11.3; most were African American (87%) girls (86%) who were abused on weekends (73%). Most parents and caregivers (63%) reported alleged sexual abuse within 24 hours; 57% obtained medical help within 12 hours of abuse. Perpetrators had a mean age of 23.3, were overwhelmingly male (97%), and known to the child victims (80%), usually through their mothers, explaining why most children (57%) offered no resistance. Education, research, and health policy are needed to increase awareness of the potential for sexual abuse and physical harm to children by men known to the family.
Theme:The Physiology, Kinesiology and Psychology of Wellness in its Social Context
Room 1 Poster Presentations / Virtual Posters

Physical Health and Mental Health Functioning of Physically Active Cancer Survivors in Rural Hawaii
Dr. Cheryl Ramos, Professor, Coordinator of Undergraduate Studies, Psychology Department, University of Hawaii, Hilo, Hawaii, United States
Overview: Physical activity can improve physical and mental health functioning of cancer survivors. The American Cancer Society and the American College of Sports Medicine have developed guidelines for exercise for cancer survivors. However, approximately one of three cancer survivors in the United States do not participate in any leisure-time physical activity. The aims of our study were to examine how exercise impacts the physical and mental health of cancer survivors in rural Hawai‘i. Adults 18 years of age and older were eligible for participation if 1) they were diagnosed with breast, prostate, or colo-rectal cancer 12 months or more prior to their study participation, and 2) had completed cancer treatment. Fifty-six (56) cancer survivors contacted the research team and were screened for study participation. Thirty-nine (39) cancer survivors indicated they did engage in physical activity for three or more days in the past 7 days, and seventeen (17) did not. Of the 56 cancer survivors screened for study participation thirty-one (31) did not meet the study inclusion criteria, resulting in twenty-five (25) cancer survivors who completed study assessments; fifteen (15) physically active and ten (10) physically inactive. Data collected for study participants included self-report of mental and physical health functioning (SF-36 Version 2); anthropometric measures including height, weight, body mass index, circumference (waist, abdomen, thigh), blood pressure, and heart rate; and body composition assessment using a DEXA. Results indicate that cancer survivors who are physically active have better physical and mental health compared to cancer survivors who are not physically active.
Theme:2019 Special Focus: Inclusive Health and Wellbeing

Raising Awareness for Preventable Diseases through a Student-initiated Intercollegiate Collaborative Effort in the Boston Community
Jiancheng Mo, Research Intern, Clinical and Translational Unit, Division of Gastroenterology, Massachusetts College of Pharmacy and Health Sciences
Thoma Qafko, Student, Massachusetts College of Pharmacy and Health Sciences, Boston, MA, United States

Overview: The need for health education has always been advocated by community leaders and public health professionals. Consistent evidence has suggested a trend in the association between increased health education and improved health management. College students, especially those who intend to pursue a health professional career, play an important role in health education by partaking in local and national health initiatives. An interdisciplinary student organization known as the Association of Student Medical Writers (ASMW) was formed at Massachusetts College of Pharmacy and Health Sciences (MCPHS) University. The overarching goal of ASMW is to mobilize college students to encourage awareness of preventable diseases in the patient community in Boston while promoting student opportunities in community outreach presentations and medical writing. To achieve this goal, student volunteers translate important findings from academic articles addressing public health concerns for the patient audience in a newsletter format, as supervised by MCPHS faculty members. The ASMW newsletter is open for contribution from students in all universities. Each month, we select and deliver relevant, faculty-edited student medical writings to community centers and elderly homes around Boston and coordinate sites for oral or poster presentations. As a result of this effort, student volunteers reported that their participation has helped build their professional portfolio, improve their writing skills, and build confidence in public speaking. In this session, we will present our past and current services, student survey results, organization achievements, and future directions.
Theme:Health Promotion and Education

BSN Graduate Mentorship
Ariel Wright, Assistant Professor, Education, Lakeview College of Nursing, Danville , IL, United States
Lanette Stuckey, Ph.D. RN CNE CMSRN, Dean of Nursing, Lakeview College of Nursing, Danville, IL, United States

Overview: Low first-time pass rates of NCLEX-RN® has been a concern for nursing schools, nurse educators, and nursing students. Additionally, struggling with NCLEX® pass rates can lead to communication and trust issues between nurse educators and students. This is why providing support for students post-graduation is crucial. Research focusing on nursing students from the time of graduation till they take the NCLEX® is limited. Furthermore, this gap in time can be a vulnerable transition for future nurses due to the lack of resources post-graduation. To assist with increasing NCLEX® pass rates and solidify trust with students, an innovate approach to mentoring BSN graduates while preparing for NCLEX® has been developed. A formal program has been created that involves communicating, supporting, mentoring, and tutoring BSN students after graduation while they prepare to take the NCLEX®. Through the mentorship program, nurse educators have focused on enhancing self-esteem, decreasing anxiety and stress while focusing on strengths, learning styles, and individual areas requiring further development, and implementing remediation plans. Through a mixed-method survey students are polled about the amount of support given, NCLEX® focused content, nurse educators advocating for students, motivation, inspiration, assistance through the post-graduation process, and if the student would recommend the mentorship program. Incorporating the value of lifelong learning and encouraging student empowerment through a specialized nurse educator driven mentorship has increased first-time NCLEX® pass rates. Implementation and continuation of a mentorship post-graduation should be utilized to support future nurses entering into the profession.
Theme:Health Promotion and Education

Kindness as an Intervention for Student Social Interaction Anxiety, Affect, and Mood: The KISS of Kindness Study
Jennifer D. Irwin, Professor, School of Health Studies, The University of Western Ontario, London, Ontario, Canada
Katie Shillington, MSc Candidate, Health and Rehabilitation Sciences, The University of Western Ontario, London, Ontario, Canada
Tara Mantler, PhD, Assistant Professor, School of Health Studies, The University of Western Ontario, London, Ontario, Canada
Andrew M. Johnson, PhD, Associate Professor, Undergraduate Chair, School of Health Studies, The University of Western Ontario, London, Ontario, Canada

Overview: Objectives: This study assessed the impact of engaging in acts of kindness on the affect, social interaction anxiety, and mood of undergraduate students. Participants: This randomized controlled trial involved 69 full-time undergraduate students allocated to either the intervention (kindness + stress booklet; n =35) or comparator (stress booklet; n =34) condition. Methods: The Brief Mood Introspection Scale, the International Positive and Negative Affect Schedule-Short Form, and the Social Interaction Anxiety Scale-Straightforward were administered at pre- and immediate post-intervention. Inductive content analysis was performed on open-ended questions exploring participants’ experiences with the study. Results: No statistically significant results were found. Inductive content analysis revealed several themes highlighting an improvement in the wellbeing of those in the intervention group. Conclusions: This study was a positive experience for all participants and demonstrated promise for a larger-scale university-based intervention.
Theme:Health Promotion and Education

Habitual Physical Activity and Cardiovascular Responses to an Ecological Stressor
Richard May, Professor, Biology, Southern Oregon University, Ashland, OR, United States
Tammy Hoffman, Student, Southern Oregon University, Ashland, OR, United States
Walker Andrews, Student , Southern Oregon University, Ashland, OR, United States

Overview: This study tested relationships between habitual physical activity and cardiovascular reactivity in a group of 58 younger adults (40 females) enrolled in an Anatomy and Physiology course. Baseline cardiovascular measures (heart rate and blood pressure) were collected during a regularly scheduled laboratory section. Cardiovascular measures were collected again the following week immediately prior to the laboratory exam. For regression analyses, blood pressure and heart rate reactivities were calculated as residualized change between baseline and exam day. Physical activity in the week prior to the exam was assessed through self-report. Exam stress elicited significant increases in state anxiety and in all cardiovascular measures (one-sample t-test, p<.01 for all tests). For the total sample, multiple regression analysis revealed that estimated minutes walking during the previous week significantly predicted smaller increment in heart rate (p<.05). For males only, reported minutes engaged in vigorous physical activity predicted a smaller increase in systolic blood pressure (p<.05). These results suggest that certain types of regular physical activity may reduce effects of daily stressors on cardiovascular reactivity.
Theme:Interdisciplinary Health Sciences

Promoting Health, Wellness and Fitness for Children and Adolescents with Disabilities: Creating Community Partnerships and Programs
Shawn Rundell, Physical Therapist Instructor, Rehabilitation Medicine, University of Washington, Seattle, WA, United States
Overview: Children with disabilities are often more sedentary, involved in fewer social activities, and move less compared to age-matched peers. Additionally, they often are at higher risk for other health conditions, which can contribute to a more inactive lifestyle and overall less socialization. Specialized and adaptive community-based fitness programs for children with disabilities exist but are scarce, and they are often limited by accessible space, transportation, cost, and training of community staff to work safely with children with disabilities. Physical therapists have the expertise to advise and collaborate with children with disabilities, their families, schools, community members and local organizations on how to adapt, modify or create individualized programs to promote fitness, health and wellness. Community organizations have the expertise to develop camp programs, hire staff and provide scholarship opportunities for children to participate but are often lacking training on how to work with children with disabilities or inclusive ideas on ways to promote fitness into their camps. The purpose of this poster is to describe a successful collaboration between an academic physical therapy program and a local community organization to create an inclusive, community-based fitness class for children & adolescents with disabilities.
Theme:The Physiology, Kinesiology and Psychology of Wellness in its Social Context

Bridging the Self-Efficacy Gap in Problem Drinking Moderation Between Education Levels: Education Status Moderates Relationship between Self-efficacy and Drinking Outcomes in Problem Drinkers
Cameron Haslip, Visiting Scholar, Center for Addiction Services and Personalized Interventions Research (CASPIR), Great Neck, NY, United States
Overview: Lower education level is linked to higher mortality rates, poorer consequences for problem drinkers (Makes et al., 2003), and drinking excessiveness in men (Van Oers et a., 1999). Education level has also been linked to different reported levels of self-efficacy (Coleman & Karraker, 2000; Clark & Dodge, 1999). Self-efficacy and motivation have both been found to be significant predictors of decreased drinking over trials and follow-ups (Morgenstern et al., 2016). This study investigated whether education level moderates the relationship between self-efficacy and drinking outcome behavior in a sample of 96 participants engaged in an RCT of Motivational Interviewing for problem drinkers. We predicted that as the level of education increases, the negative relationship between self-efficacy and drinking outcomes increases. Moderation analyses were run on 139 problem drinkers involved in an RCT where participants either received Motivational Interviewing (MI), Spirit-only Motivational Interviewing (SOMI), or Self-Change (SC). Majority of participants have a completed bachelor’s degree (n=51, 36.6%), or graduate degree (n=36, 25.9%). After controlling for baseline drinking and alcohol dependency, Generalized Estimating Equations (GEE; Zeger & Liang, 1986; Zeger, Liang, & Albert, 1988) found self-efficacy to significantly predict changes in the sum of standard drinks per week (SSD) (Wald Chi-Square=3.43, df=12; p=.000). While still controlling for baseline drinking and alcohol dependency, education was found to significantly moderate the relationship between self-efficacy and SSD (Wald Chi-Square=10.80, df=3; p=.01). These results from this sample of problem drinkers support the hypothesis that education level is a significant moderator between self-efficacy and drinking outcomes per week.
Theme:2019 Special Focus: Inclusive Health and Wellbeing

Evaluating Participation and Self-Reported Behavioral Change among Head Start Teachers: Head Start Wellness Pilot Program
Michelle Yetman, Assistant Professor Clinical, School of Allied Health Professions, Shreveport, LA, United States
Adam Blancher, Assistant Clinical Professor, Louisiana State University Health Sciences Center , Shreveport, LA, United States
Tyler Reekes, PhD Candidate, Louisiana State University Health Sciences Center , Shreveport, LA, United States

Overview: Head Start (HS) is a federally funded preschool program for children whose families are living in poverty. HS teachers are an “at-risk” population for increased health-related concerns. Previous research supports that most HS teachers have low income, high-stress jobs, and have negative health-related behaviors in comparison to groups with similar demographics (Snyder & Hill, 2018). The aim of this study was to improve health and wellness outcomes in a sample of 240 “at-risk” HS teachers and support staff. A ten-month program was developed that was composed of health education, health promotion, and disease prevention, and utilization of behavioral-change technologies (iPhone Apps) directed at health habit improvements. Utilizing a pretest/post-test design, results suggested an increase in more positive attitudes toward a “culture of wellness” as rated by the teachers (chi-square = 37.29, df = 1, p<0.001). Overall, 88% of participants reported making healthy lifestyle choices. For example, among the numerous behavioral changes reported, 72% of teachers reported using health app technology for the first time as a result of participation in the program. Ten specific behaviors were targeted for intervention, with varying degrees of success. This study is Phase I of a multi-year behaviorally-based intervention program designed to target HS employee well-being.
Theme:Health Promotion and Education

Hand-written Journals to Support Positive Behavior Change among University Students
Arnab Mukherjea, Assistant Professor, California State University East Bay, Hayward, CA, United States
Prof. Elbina Rafizadeh, Associate Adjunct Faculty, Health Occupations, California State University East Bay, Hayward, CA, United States
Stephen Morewitz, California State University East Bay, Hayward, CA, United States

Overview: The Health Maintenance Consortium held in 2010, theorized that mechanisms of behavior change are influenced by knowledge or cognition, self-efficacy or intrinsic motivation, behavior skill building, and social reinforcement. Expressive hand-writing journaling helps students recognize negative thoughts and behaviors that affect the six dimensions of health: physical, emotional, intellectual, spiritual, social, and occupational. Hand-writing, an executive action, correlates with pre-frontal cognitive function, which is responsible for decision-making and critical thinking. We implemented an expressive hand-written journaling assignment in a health elective course, hypothesizing that it could help students to improve self-awareness, ability to manage negative health behavior and, self-confidence and self-efficacy. Seventy-five students, ages 18-33 years old, were randomly assigned to two groups, a journaling group (J) and non-journaling group (NJ). The final questionnaire responses showed that both groups successfully tracked their ability to manage negative health behaviors. However, students from the J group described details about increased self-awareness and behavior change awareness (60%), feelings of self-efficacy and self-confidence (14%), emotional and mental relief (26%), and one student described feeling more committed to deciding about a behavior choice. In the NJ group, 42% depended on some form of social support; 52% used other methods, such as a phone app or calendar. Hand-written journals may help students to express a deeper awareness and knowledge of their behaviors, including self-efficacy and self-confidence. However, there is also a need for a follow-up study to determine if the students from both groups have sustained their behavior.
Theme:Health Promotion and Education

Six-minute Walk Test and Dual Task Balance Test for Distinguishing Falls in People with Schizophrenia
Wan Ju Huang, Occupational Therapy Director, Department of Occupational Therapy, Jianan Psychiatric Center, Tainin, Taiwan
Ming De Chen, Associate Professor, Department of Occupational Therapy, Jianan Psychiatric Center, Tainin, Taiwan
Han Yi Hsiao, Occupational Therapist, Department of Occupational Therapy, Jianan Psychiatric Center, Tainin, Taiwan
Ling Ying Wang, Occupational Therapist, Department of Occupational Therapy, Jianan Psychiatric Center, Tainin, Taiwan
Chou Fang Lee, Occupational Therapist, Department of Occupational Therapy, Jianan Psychiatric Center, Tainin, Taiwan

Overview: The study was aimed to examine whether the 6-minute walk test and the dual task balance tests can distinguish falls in people with schizophrenia. This study employed the case-control research design. The case group was the individuals who had falls history during 2017/01/01-2018/12/12 before assessment according to the medical records. The control group was recruited from our non-acute ward residents and had no falls history during the same period. The control group was matched based on age(±5 years old ), gender, and the ward of the case group. In the end, we recruited 40 participants for the case group and 88 for the control group. People with schizophrenia in case group (fallers) had a poor performance in single leg stance test with a manual dual task (SLSman). It was found that SLSman was the only significant discriminant with the stepwise Logistic regression analysis, OR (odds ratio) was 0.937 (95% CI, 0.898-0.978). In other words, for every 1 second reduction in SLSman performance, the odds of falling will increase by 6.3% (95% CI, 2.2% - 10.2%). The overall model explained 14.4% (Nagelkerke R2=.144). For the case group, Pearson Correlation's results showed that the number of falls was significantly negatively correlated with lower limb muscle strength (30-second sit-stand test) and cognitive function (MOCA) score. The SLSman is a valid assessment to distinguish falls in people with schizophrenia.
Theme:The Physiology, Kinesiology and Psychology of Wellness in its Social Context

The Effects of a Ten Week Exercise and Nutritional Program on Quality of Life Measures
Alisa Drapeaux, Assistant Professor, College of Pharmacy and Health Sciences, Des Moines, IA, United States
Overview: The purpose of this study includes partnering with Farrells Bodyshaping to study the effect of their 10-week program on the quality of life of their participants. Drake University will distribute approximately 3500 Quality of Life surveys (validated instrument) to participants in April with no identifiable information on the survey. We will utilize one primary contact at Farrell's to distribute the survey (email) to each of the participants across the United States. The survey will be sent out to participants during the 1st week of the 10-week program and after the final week of the program. We will compile the data in conclusion of the study and compare the pre and post results for physical, emotional and mental health changes.
Theme:Health Promotion and Education

Social Support and Job Tenure for Individuals with Schizophrenia
Min Yi Wu, Associate Professor, National Kaohsiung Normal University, Kaohsiung, Taiwan
Ying Chun Chien, Occupational Therapist, Occupational Therapy, Jianan Psychiatric Center, Tainan, Taiwan

Overview: This study was to explore whether the perceived social support of people with schizophrenia who have entered the general workplace influenced their stable employment. We used two methods to examine the employment stability: Number of days in the employment, and, Number of days in the stable employment. If all participants were stable in the employment during the study period, we followed up the number of days in stable employment after the end of the study. This study observes the association between perceived social support from the participants and the stable employment status up to six months. We invited patients with schizophrenia who were currently employed in a general workplace and received medical services at the hospital of the investigator between March 31, 2016 and February 20, 2017. Finally, twelve participants fulfilled the inclusion criteria and were enrolled in this study. The Interpersonal Support Evaluation List (ISEL) adapted from Cohen & Hoberman (1983) was used to measure the intensity of social support type perceived by the participants in different sources. The survey was conducted three times: on the first day of the study period, the end of the third month, and the end of the sixth month. We used descriptive statistics, paired samples t test, analysis of variance, and Spearman’s rho for statistical analysis. This study found that enhancing family support for people with schizophrenia provided extensive information support and provided various kinds of social support from different sources and types
Theme:The Physiology, Kinesiology and Psychology of Wellness in its Social Context

An Exploration into the Health Literacy of Pre-service Teachers
Dr. Jon Aoki, Associate Professor, Natural Sciences, University of Houston-Downtown, Houston, TX, United States
Overview: The K-12 education system is a means that may help offset the rise in obesity and the related metabolic syndrome diseases. Within a classroom setting, teachers have the opportunity to initiate and facilitate life-long healthy lifestyle habits in students. To meet this objective, teachers must ensure student acquisition of content knowledge and promote healthy lifestyle attitudes. This study surveyed: pre-service teachers’ perception of health; pre-service teachers’ behaviors towards healthy lifestyle habits; and, pre-service teachers’ perception of their participation in healthy lifestyle habits.
Theme:Health Promotion and Education

The Social Influence of Graphic Design on Health Promotion and Education: Why We Need to Encourage More Graphic Designers to Think About Health Promotion and Education in a Visually Compelling Way
Jong Yoon Kim, Associate Professor, Plymouth State University, Plymouth, New Hampshire, United States
Overview: Graphic Design, also known as communication design, is the art and practice of planning and projecting ideas and experiences with visual and textual content. We, graphic designers, are professionally trained to inform audiences in visually effective way, such as innovative logo designs, engaging web designs, and creative packaging designs. But there’s another avenue of design that does well when sourced to the crowd that can have significant impacts outside of profit margins: socially influential design. I am convinced that the quality of design plays a bigger role in our lives than ever before. Designers are not only good at designing functionalities but also good at solving problems, and especially in recognizing problems that people didn't previously consider to be problems at all. This poster/exhibition session will feature various possibilities of graphic design tools and methods connecting scientific and medical information to visual communication.
Theme:Health Promotion and Education

Medical-legal Partnerships Benefit Families of Developmentally Disabled Children: Health Law Partnership and Children with Neuro-developmental Disabilities
Salathiel Kendrick Allwood, Assistant Professor of Clinical Pediatrics, Pediatrics, Emory+Children's Pediatric Institute, Atlanta, United States
Susan Mc Laren, Senior Research Associate, Georgia State University, United States

Overview: This is a descriptive analysis of a retrospective cohort of families that examines the health harming legal issues of 651 patients with 1071 parent reported neurodevelopmental disabilities addressed from January 1, 2006 - June 30, 2018. 47% of children served experienced developmental delays, 29% had ADHD, 23% had Autism, and 14% were premature at birth. Of these children, 63% were male and 34% were ages 5-10 years. Families referred to Health Law Partnership (HeLP) received a legal check-up to assess legal needs and financial eligibility. Legal cases were assigned to a team of lawyers and law students through Atlanta Legal Aid and Georgia State University College of Law and physicians and medical students from Emory University and Morehouse Schools of Medicine. Among 457 cases represented the most common were SSI (189; 21%) education (225; 25.1%), and family law (166; 18.5%). Benefits obtained through legal intervention exceeded $4.9 million. Medicaid, SCHIP and other health-related assistance resolved cases resulted in an average benefit value of $18,925/case, SSI and education cases had an average value of $9,585 and $5,336 respectively. HeLP services resulted in improved access to health care, education resources, and in financial cost savings to families. HeLP provided cost avoidance to the health care system by securing entitlement benefits (Medicaid, SCHIP, SSI) for children with neurodevelopmental disabilities. Interdisciplinary practice among health care and legal providers can result in resources to address legal and social determinants of health concerns that exacerbate the complex needs of children with neurodevelopmental disabilities and their families.
Theme:Interdisciplinary Health Sciences

A Study of the Design and Medicine Collaborative Renovation of a Hospital Entryway
Yukari Iwata, Research Associate, Department of Architecture, Tokyo, Japan
Momoyo Kaijima, Associate Professor, Tsukuba, Japan
Tomoaki Jikuya, Hospital Director, Tsukuba, Japan
Hirose Noriyuki, Public Relations Section Chief, Tsukuba, Japan
Asuka Imamura, Art Coordinator, Tsukuba, Japan

Overview: This study investigates the impact of the design and medicine collaborative renovation project that sought to improve patient comfort in hospital entryways through furniture redesign. Designing the comfortableness of hospital environments makes slower progress in Japan than other advanced nations. Since 2000, Japanese universities and hospitals started collaborative projects to improve hospital environments. From 2007, Tsukuba Medical Center has initiated several renovation projects with the University of Tsukuba’s Faculty of Art and Design. However, the hospital entryway still looked stark. This project’s objective was to provide a welcoming atmosphere with wooden furniture in the entryway. Students and staff attended conferences and workshops, and inspected furniture models. The furniture design objectives included: 1) creating continuity between the entryway and a garden outside with wooden pergolas; 2) building benches and a counter with curved shapes; and 3) fashioning a comfortable and aromatic environment with Japanese white cedar. Data were collected through multiple choice and open-ended questionnaires provided to forty-seven entryway users within three days. The results showed that respondents valued the bright, warm, and calm atmosphere in the entryway. They appreciated the feel of the wood and the furniture’s curved shape. However, patients evaluated the benches as uncomfortable because of their hard seats. Thus, the wooden furniture fostered a comfortable atmosphere in the entryway. This success in furniture design resulted from much discussion and examination during the renovation process. However, the designer and staff did not consider patient conditions sufficiently. Therefore, a hospital’s renovation process should involve both the staff and patients.
Theme:2019 Special Focus: Inclusive Health and Wellbeing
Room 2 Virtual Lightning Talks / Ponencias virtuales breves

21st Century Physical Education (PE): Doing and Accomplishing More with Less!
Derek Mohr, Professor, Health, Physical Education, and Coaching, Appalachian State University, Boone, NC, United States
Scott Townsend, Professor, Appalachian State University, Boone, NC, United States

Overview: Many health/physical education and wellness programs (HPEW), K-12 and higher education, are challenged to “do and accomplish more with less.” One way to do and accomplish more with less is to employ a flipped learning approach, where essential wellness and course-specific content is delivered online, freeing up valuable in-class time for the development of physical literacy and the integration and application of wellness content. Flipped learning is flexible and leverages common technology to maximize engagement both in and outside of class. The process begins by determining learning outcomes and identifying those best be achieved in and outside of class. Next, online and in-class activities are developed in accordance with those outcomes. Example online activities include: readings, videos, Q&A forums, quizzes, etc. These activities can be arranged in a prerequisite fashion, requiring completion in a prescribed order and at a predetermined level of success so that students arrive to class prepared to engage fully. Lastly, flipped learning calls for outside of class content to be applied and integrated during class, thus deliberate strategies are necessary to accomplish this critical instructional goal. The purpose of this presentation is to showcase how flipped learning can help HPEW programs accomplish their mission and bolster their legitimacy, particularly in the face of diminishing support and resources.
Theme:Health Promotion and Education

Physical Conditioning for Australian Paramedics: A Six Month Workplace Exercise RCT
Jayden Hunter, Lecturer, School of Exercise Science, Sport and Health, Charles Sturt University, Bathurst, New South Wales, Australia
Overview: Serious musculoskeletal injury rates for Australian paramedics are up to seven times higher than the national occupational average, resulting in significant associated costs and extended time off work. Work conditioning programs have been recommended to improve fitness but not evaluated in Australian paramedics. This study investigated the effectiveness of a 6-month workplace exercise program (MedicFit; MF) to improve paramedic fitness with or without health coach (HC) support. A group of regional Australian paramedics (n=76; 43 male; mean±SD 36.5±9.1 years; BMI 28.0±5.4 kg/m2) were randomised to either exercise with remote health coach support (MFHC; N=30), exercise without health coach support (MF; N=23), or no-exercise control (CON; N=23) groups. MFHC and MF participants received a 6-month, low-moderate intensity resistance and flexibility exercise program to be performed on station without direct supervision. Changes to upper-body (push-ups), lower-body (wall squat) and core (plank hold) strength and flexibility (back scratch and sit-reach tests) were analysed using repeated measures ANOVA. Results: Mean changes to upper-body (+20.6%; p<0.01; ηp2=0.34), lower-body (+40.8%; p<0.05; ηp2=0.08) and core (+1.4%; p=0.17; ηp2=0.03) strength were similar between groups, as were changes to upper-body (+19.5%; p=0.56) and lower-body (+3.3%; p=0.15) flexibility, with no interaction or group effects observed. Conclusion: Providing a 6-month workplace exercise program with or without HC support did not confer any greater strength or flexibility benefits than exercise testing alone (CON). Although exercise adherence was not measured, it is possible that participants require additional methods of support such as face-to-face exercise instruction and guidance, and individually-tailored exercise programs.
Theme:The Physiology, Kinesiology and Psychology of Wellness in its Social Context

Recommendations for Housing First in Philadelphia
Brie Radis, Assistant Professor and Clinical Social Worker, West Chester University, West Chester, PA, United States
Overview: As the poorest urban city in the United States, Philadelphia has a growing number of chronic homelessness with individuals, couples, and families experiencing devastating challenges of an unjust criminal justice system, addiction, complex trauma, mental health challenges among other health disparities. Dr. Brie Radis, LCSW has worked and led the city's first housing first treatment teams as a case manager, mental health specialist, team leader, and as their clinical director for the last fourteen years. She will share her clinical best practice reflections during this talk.
Theme:Interdisciplinary Health Sciences

An Interdisciplinary Orientation for Health Science Graduate Students: Mindfulness in Class
Annette Willgens, Clinical Associate Professor, Temple University, Philadelphia, PA, United States
Jackie Murphy, Clinical Assistant Professor, Drexel University, Philadelphia, PA, United States

Overview: Health science graduate students have high levels of perceived stress which can negatively influence them both personally and professionally. In fact, graduate students experience worry, burnout, and compassion fatigue, often causing stress during clinical coursework. Mindfulness has a strong evidence base but its use in graduate education is still relatively new. We propose a mindfulness orientation for all students in the college of nursing and health professions. The intent of the training is for all students to have regular opportunities to practice self-care throughout their education. In the Fall of 2018, all students had regular access to mindfulness tools and strategies. Faculty were trained by mindfulness "ambassadors" who have a mindfulness practice of their own. Short activities and tools were woven into the day-to-day curriculum across the College. An online course shell was made accessible to all students and faculty. Pre and post data was collected across disciplines with a focus on direct patient care courses. We hope to prevent the ill effects of student stress and build a model for other programs to foster student self-care before they embark on their professional careers. We owe this to the the next generation of healthcare professionals and the communities they serve.
Theme:Interdisciplinary Health Sciences

Socio-economic Status and Anxiety and Depression in Children
Lee Hyeryung, Researcher, Educational Policy Research Division, Korean Educational Development Institute, Jincheon, Afghanisan
Overview: This study seeks to assess whether socio-economic status (SES) affects the change of anxiety and depression level, using national longitudinal data from the panel study on Korean children (2012-2015). Anxiety and depression levels were measured using the Korean Child Behavior Checklist (K-CBCL), a standardized Korean version of the CBCL. SES was assessed with regard to household income, parent education, and employment status. Linear regression analysis and Hausman’s test were conducted in R (version 3.5.1) to investigate if socio-economic factors could predict the anxiety/depression levels. Findings reveal higher SES significantly decreased the odds of anxiety and depression, but the mother's education level did not. Additionally, for the children having an unemployed mother, the mother’s higher education level significantly increased the odds of anxiety/depression while the father’s higher education decreased them. This study suggests taking SES into account may be an important factor in tackling children’s mental health inequalities as well as developing of anxiety/depression prevention strategies.
Theme:2019 Special Focus: Inclusive Health and Wellbeing

Longitudinal Research Optimization: Adapting a Human Subjects Study to Account for Cultural, Environmental, and Logistical Factors in Rio de Janeiro, Brazil
Catherine Brennan Delattre, Fulbright Research Grantee, Rio de Janeiro, Brazil
Overview: Can partner and group movement sessions be used to supplement traditional clinical and counseling approaches to mental health, specifically focused on social and emotional rehabilitation, and specifically with an interest in populations with social and generalized anxiety? My Fulbright research in Rio de Janeiro seeks to evaluate and quantify the psychological benefits of capoeira, an Afro-Brazilian movement art, for the purpose of developing movement-based psychological interventions targeting individuals' empathy, self-efficacy, and state and social anxiety. Might participants show changes in these dimensions over the course of a semester of a cooperative movement intervention, and might those changes persevere even after participants are no longer participating in the activity? My lightning talk explores the purpose and implications of this research, as well as the adapting of a study when its environmental, cultural, and logistical context necessitates circumnavigating unanticipated hurdles.
Theme:The Physiology, Kinesiology and Psychology of Wellness in its Social Context
Room 3 Workshop Presentations

Restorative Yoga
Jason Emanuel Britton, Continuing Lecturer, Physical Education Program, University of California, Berkeley, CA, United States
Overview: Restorative Yoga is a unique method of reducing stress. The workshop will focus on three simple poses that are found in Restorative Yoga. These methods can be adapted to both individual and group settings and can be modified to fit the needs of those with physical challenges. The instructor is a certified Relax and Renew trainer and has been a lecturer teaching yoga and dance at University of California, Berkeley since 1998 in the Physical Education Program. Hundreds of University of California, Berkeley students and staff have received the Restorative Yoga training from Mr. Britton with positive responses over the past twenty years.
Theme:Health Promotion and Education

Natural Indoor Animation as a Means to Mindfulness in Work Environments
Dr. Kevin Nute, Assistant Professor, School of Architecture, University of Hawaii at Manoa, Honolulu, HI, United States
Zhou Job Chen, Assistant Professor, Clemson University, United States

Overview: Over the last two decades, mindfulness has been shown to have a range of valuable psychological and physiological benefits. Because meditative practices designed to evoke mindfulness typically involve interrupting other activities, however, they are not widely used in the places where we probably need mindfulness most, in the spaces where we spend much of our lives working. The research presented shows that visible animation of indoor environments using the natural movements of the sun, wind, and rain can induce many of the same health benefits as mindfulness, including reducing stress and improving attention, but without the need for any training or interruption of everyday work activities. It is suggested that this environmental approach has the potential to effectively make mindfulness universally accessible in the places where it is most needed, and transform health in the workplace.
Theme:2019 Special Focus: Inclusive Health and Wellbeing
Room 4 Workshop / Taller

Maintaining a Sustainable Teaching Practice: Strategies for Teachers of Color to Prioritize Wellness and Combat Compassion Fatigue
Stephanie Cariaga, Assistant Professor, Teacher Education Division, California State University Dominguez Hills, Carson, CA, United States
Dr. Farima Pour-Khorshid, Assistant Professor, University of San Francisco, San Francisco, CA, United States

Overview: With research showing the impact of trauma on children and the way they learn (Grogger, 1997), educators are charged with addressing the holistic needs of their students. Yet teachers are often trained to silence their own needs to serve their students (Hydon et al., 2015). Additionally, few scholars capture how teachers of color specifically have to navigate the impacts of structural violence within and outside of schools (Ginwright, 2015). This workshop offers classroom and collaborative practices for teachers of color to heal from such traumas and prioritize their wellness so that they can better serve their students. Led by two teacher educator/scholars with experience spanning 12 years in the K-12 field, this workshop synthesizes disciplines from social work, psychiatry, trauma-informed care, and Ethnic Studies to frame healing as a critical act of resistance, discuss ways that systems of oppression shape our tendencies to overwork, and share methods to prevent compassion fatigue and burnout. Each presenter will offer two models of wellness and healing: daily re-anchoring strategies that can help teachers carry the compound weight of students’ pain and their own, and, a teacher inquiry group where teachers of color can unpack the racialized and gendered forms of trauma that impact their retention, wellbeing and empowerment within the field and beyond. Participants will practice wellness strategies, including meditation, journaling, and dialogue to practice giving themselves empathy before giving to others, asserting their needs in community, and stepping into their resilience as agents of change in their schools and beyond.
Theme:Health Promotion and Education
Room 5 Spanish Virtual Presentations / Ponencias virtuales en español
13:30-13:45 Break / Pausa
13:45-15:25 PARALLEL SESSIONS
Plenary Room Workshops / Talleres

Moving to Learn, Moving for Health
Jamie A. Johnson, Assistant Professor of Dance, Utah Valley University, Orem, Utah, United States
Mark Borchelt, Associate Professor, Dance, Utah Valley University, Orem, UT, United States

Overview: In current educational environments, Science, Technology, Engineering, and Math (STEM) subjects are often promoted above the active doing that occurs in art and physical education classrooms. There is ample evidence that, if our goal is to educate the whole child, it would be beneficial to place conscious movement in a prime position in educational curricula. Thinking and learning are not functions isolated in the brain. They are embodied experiences. The proliferation of individualism in the last several decades has had positive associations, like the growth of equality and self-determination. However, it has also spawned the pervasive negative influences of self-focus and entitlement. As a result, there has been increasing isolationism linked to escalating suicide rates, especially amongst teenagers. Movement, in particular, conscious movement, has been shown to hold the potential for recuperation, restoration, and maintenance of well-being. This session will demonstrate how movement and dance can be effectively utilized in academic settings to promote learning and overall health. Through a physical exploration of Developmental Movement Patterns, participants will gain an understanding of how embodied awareness can stimulate thinking and learning. Participants will learn how to apply the habits of mind in the classroom through activities which include, explorations in neurologically-based movement patterning, restorative breath work, and proprioception. These activities will showcase how embodied awareness can assist in navigating our complex global reality. This highly experiential workshop will be accessible to movers of all abilities.
Theme:Health Promotion and Education

BrainDance Yoga: Application of Developmental Movement Patterns to the Practice of Yoga
Gail Abrams, Professor Emerita, Dance and Movement Studies, Scripps College, Claremont, CA, Yoga Instructor, Kinesiology Department, University of California San-Bernardino, Redlands, CA, United States
Overview: BrainDance, created by Anne Green Gilbert, is a framework of exercise/movements based on eight developmental movement patterns that babies move through in their first year of life. These patterns wire the central nervous system so the brain can operate at its full potential. BrainDance patterns are essential for efficient, well-integrated movement, and are the building blocks for more complex movements we do throughout our lives. In this workshop we will learn the 8 BrainDance patterns – breath, tactile, core-distal, head-tail, upper-lower, body half, cross lateral, and vestibular - and explore building a yoga practice based on them. Incorporating BrainDance into yoga is a viable way to reintegrate important patterns into the body for more efficient, connected, and embodied movement, as well as for more optimal cognitive functioning. BrainDance has been used in schools for a variety of benefits: classroom behavior management; recuperation from long days of sitting; breaks from intense periods of brain work involved in studying, reading, writing, and listening; enhanced testing scores; preparation for performances or presentations; improvement of social skills, and more. BrainDance enhances movement function as well as brain function, reorganizing the neurological system to coordinate all parts of the brain and body for emotional, social, and cognitive balance. Increased blood flow and oxygen to brain and body improves focus, concentration, reduces stress and tension, and enhances ease and fluidity in movement. A handout will be provided that explains each pattern and its benefits, as well as a catalogue of various asanas that fit into each pattern.
Theme:Health Promotion and Education
Room 1 Holistic Health

Engaging Hearts and Minds with a Focus on Professional Fulfillment
Patricia Purpur De Vries, Director, Stanford Health Promotion Network, Medicine, Stanford, CA, United States
Overview: In 2016, The Stanford WellMD Center created a model for Professional Fulfillment based on physician wellness data collected between 2013 and 2016. Although this Model was intended to focus solely on the needs of our physicians, we soon discovered that the concept resonates with individuals from the janitorial staff who sees their role in the healing of our Stanford Medicine patients, to the C-Suite who want to understand how well-being can support their bottom line business needs. This Model expands the concept of wellness and highlights the impact of leadership and business practices that can either support or diminish employee health and well-being. Specific survey data will be shared and participants will engage in a discussion on how they can expand collaboration across departmental silos and seek to raise the level of professional wellness within their organization.
Theme:Interdisciplinary Health Sciences

Treatment of Fibromyalgia in Tibetan Medicine : Neurologic Health Disorders
Nashalla Nyinda, Tibetan Doctor, Tibetan Medicine, Boulder, CO, United States
Overview: Fibromyalgia presents a myriad of symptoms, and pinpointing treatment is challenging and varied in western medicine. In traditional Tibetan Medicine, this condition primarily falls under the category of rLung (wind) disorders. Consulting the pathology chapter on rLung (wind) disease, a direct correlation emerges to western symptomatology. The root causes of this modern western disorder rest within the causes and conditions of rLung (wind) itself. Further, due to the chronic nature of this disorder, involvement of other bodily systems often produce imbalances which fall under dual classification. In understanding described symptomatology, causes and conditions, locations in the body, and patient sensations, a clear pathology is revealed. Treatment follows guidelines elaborated within the Tibetan medical texts. Specifically, rLung (wind) disorders attacking muscles, tendons, ligaments or rLung (wind) "running in the channels" provides accurate descriptions of, and treatment models for this modern western affliction. In this paper, Fibromyalgia pathology is identified and beneficial treatments within the four methods, consisting of diet, behavior, medicine and accessory therapy are elaborated. I present examples and techniques which produce therapeutic results, as well as precautions for preventing secondary disorders and flare-ups of pain.
Theme:Interdisciplinary Health Sciences

More Resilient, More Often: Keeping Your R-Battery Charged to Live a Q-Life
Darren Steeves, Sport Scientist / Adjunct Professor, School of Health and Human Performance, Canadian Sport Center Atlantic/Dalhousie University, Halifax, Nova Scotia, Canada
Overview: Resilience is defined as being resourceful, flexible, emotionally agile, and having problem-solving abilities. While some resiliency comes naturally, it can also be learned. The Q-Life is a three-year web-based project at Dalhousie University available to all students. The Q-Life experience supports students in building their own resilience and addressing feelings of being overwhelmed, anxiety, and perceived stress through proven skill development like mindfulness, nutrition, cognitive hygiene, self-awareness. The experience is designed to fit into a student’s schedule by providing a robust assessment, companion (manual), journal/log app, video blogs and interviews to be completed at a time convenient to them. This project has been through ethic review at Dalhousie and is being coordinated through the school of health and human performance. This research aims to examine the information from the Q-Life experience and draw conclusions that will aid in enriching our understanding of resilience and its ability to be learned over time. This project has completed year two and seen major growth in uptake and adherence as well as some promising results that will be discussed.
Theme:Health Promotion and Education

The Effects of Online Yoga and Tai Chi on Physical Health Outcome Measures of Adult Informal Caregivers
Dr. Andi Céline Martin, Lecturer, Kinesiology and Health Studies, University of Regina, Regina, Saskatchewan, Canada
Overview: This study examined the effects of 12 weeks of online Yoga and Tai Chi (150 minutes/week) in informal caregivers (≥ 18 years of age). Twenty-nine participants were randomized to Vinyasa Yoga (VY; n = 16, 55.87 ± 12.31 years) or Taijifit (n = 13, 55.07 ± 12.65 years). Prior to and following the study, assessments were made for muscle strength (1-RM leg press, chest press, hand-grip), muscle endurance (leg press and chest press; maximal number of repetitions performed to fatigue at 80% and 70% baseline 1-RM respectively), abdominal endurance (maximum number of consecutive curl-ups to fatigue), tasks of functionality (dynamic balance, walking speed), and flexibility (sit and reach). There was a significant increase over time for muscle strength, muscle endurance, tasks of functionality, and flexibility (p = 0.001). The VY group experienced a greater improvement in chest press endurance (VY: pre 19.25 ± 5.90, post 28.06 ± 7.60 reps; Taijifit pre 15.69 ± 4.49, post 21.07 ± 5.85 reps; p = 0.019) and abdominal endurance (VY: pre 37.12 ± 31.26, post 68.43 ± 55.07 reps; Taijifit pre 19.23 ± 19.00, post 32.07 ± 20.87 reps; p = 0.034) compared to the Taijifit group. VY and Taijifit are effective for improving muscle strength and endurance, functionality, and flexibility in adult informal caregivers.
Theme:The Physiology, Kinesiology and Psychology of Wellness in its Social Context
Room 3 Decreasing Stigma/Increasing Resilience

Social Stigma and Resilience as Perceived by People Living with HIV
Agnes Crisostomo, Chairperson, Psychology, Bulacan State University, Malolos, Bulacan, Philippines
Overview: In this study, forty (40) people living with HIV (PLHIV) were selected from two different HIV Support groups. Participants were all males, age ranges from 31 to 40, living with their families, finished Bachelor’s degree, and were all unemployed. Two instruments were used; Resilience Scale (Legan & Seward, 2016)and Stigma Scale (Steward, 2008) Descriptive method and Pearson correlation analysis was used as the primary statistical treatment to determine if such correlation and significance exist with both variables. Pearson Correlation analysis showed that Social Stigma was significantly associated with resilience. On the other hand, Social Stigma and Resilience sub-scales and domains were negatively correlated to each other. The researchers recommended that people living with HIV (PLHIV) to be a part of a support group to lessen the stigma and elevate their resiliency.
Theme:Health Promotion and Education

Patients’ Satisfaction in Chronic Kidney Diseases Clinics under the Policy of Ministry of Public Health
Supang Wattanasoei, Lecturer, Faculty of Public Health, Thammasat University, Rangsit, Patumthanee, Thailand
Sasitorn Taptagaporn, Faculty of Public Health, Thammasat University, Thailand
Sirima Mongkolsomlit, Faculty of Public Health, Thammasat University, Thailand
Nitchamon Rakkapao, Faculty of Public Health, Thammasat University, Thailand
Teeraphun Kaewdok, Faculty of Public Health, Thammasat University, Thailand

Overview: Currently, chronic kidney disease (CKD) is a global health problem. In Thailand, the ministry of public health has implemented the policy to provide the care for CKD patients in the public hospitals by a multidisciplinary health professional team as the chronic kidney disease clinics (CKD clinic). This study aims to assess patients’ satisfaction in the CKD clinic under the policy of the ministry of public health as an indicator of the quality of healthcare and for understanding the satisfaction level and the potential to improve healthcare services and outcomes. This descriptive study was conducted among 272 CKD patients within their visit to the CKD clinic from 140 public hospitals in 12 regional service providers in Thailand. The measurement tool was the questionnaires regarding the satisfaction and being described into four aspects: services, place, health professional staff, and medical equipment and supplies. Descriptive statistics were used to identify patients’ satisfaction with CKD clinics. Results: The mean age of 272 CKD patients was 64.19±13.39 (54.4% female). The average year of being CKD patients was 4.01±4.12 years. The participants rated their overall satisfaction as high (62.9%) and average (37.1%) level. Aspects with a high level of satisfaction included: health professional staff (60.3%) and medical equipment and supplies (52.2%). The average level referred to service (58.8%) and place (53.7%) aspects. This study has demonstrated levels of satisfaction with the CKD clinic that could tailor for the significant implications and challenges in improving healthcare service policy further.
Theme:Public Health Policies and Practices

The Effect of Stigma on Attitudes Towards Seeking Help from Social Workers
Hend Al Ma'seb, Associate Professor, Kuwait University, Kuwait, Kuwait
Overview: Social workers understand that it is very difficult for individuals to ask for help from therapists. Therefore, it is important to study the variables associated with seeking professional help. A total of 478 undergraduate students from Kuwait university participated voluntarily in the study. The findings for this study showed that the participants of the study have a slightly high degree of public stigma, low self –stigma, and positive attitude toward seeking professional help. In addition, the findings of the study reveal that there are significant relationships between gender, taking social work classes, thinking about receiving counseling, and having social problems and participants’ attitude towards seeking professional help. Furthermore, the findings of the study show that there were significant relationships between gender, and thinking about receiving counseling, and self-stigma. The findings of the current study have implications for the field of social work in Kuwait that would help to improve knowledge in this area.
Theme:Interdisciplinary Health Sciences

Exploration of the Downstream Health Effects of Adolescent Rites of Passage Experiences
Kelly Mc Dermott, Assistant Professor, Population Health Sciences, University of San Francisco, San Francisco, United States
Michaela George, Adjunct Professor, Dominican University, San Rafael, CA, United States

Overview: This exploratory study examines adolescent health behaviors, the health behaviors of family members, the role of cultural heritage, and participation in coming-of-age rites of passage programs or activities during adolescence as determinants of young adult health behaviors. In traditional cultures, a coming-of-age rite of passage is a ritualized event where community members help guide adolescents into adulthood. The event becomes a threshold that defines the adolescent’s new place in the community as an adult. This study investigates these potential connections of adolescent experiences and later health behaviors in two ways. First, by surveying young adults from two local university populations. Young adults will be asked about their adolescent experiences, including programs, activities or events that focused on a transition into adulthood and their current health behaviors. Second, with in-depth interviews with young adults who participated in a coming-of-age rites of passage program during their adolescence. Through these investigations, we hope to elucidate how adolescent experiences, and particularly those of coming-of-age rites of passage programs and activities, affect health behaviors and possibly chronic diseases later in life.
Theme:Public Health Policies and Practices
Room 5 Healthy Balance

Social Support and Children’s Healthy Practice: Examining the Mediating Effects of Parental Health Literacy
Dr. Chengwei Xu, Singapore Management University, Singapore, Singapore
Paulin Straughan, Professor, Singapore Management University, Singapore, Singapore

Overview: Many existing studies have found that social support and health literacy have positive associations with an individual's health status. However, it is still unclear how social support and health literacy influence an individual’s health practices. The present study hypothesizes that health literacy has a mediating effect on the relationship between social support and health practices. To test this hypothesis, we conducted a questionnaire survey in Singapore and collected a nationally representative sample of 1,491 household responses. Structural Equation Modelling (SEM) via Stata was used to examine the indirect effects of social support on health practices. Results support our hypothesis. Specifically, only when social support facilitates the acquisition of health knowledge, it promotes the adoption of good health practices. The implications of promoting a healthy lifestyle through social support and health literacy are discussed.
Theme:Health Promotion and Education

Educating Indviduals on How to "Stay in the Saddle": Avoiding Overuse Injuries Associated with Cycling
Michael Lebec, Professor, Physical Therapy and Athletic Training, Northern Arizona University, Flagstaff, United States
Overview: Road cycling and mountain biking on trails have become increasingly popular. Though cyclists, especially mountain bikers, are at risk for traumatic injuries, athletes who participate in these sports are also at significant risk for developing overuse syndromes. Overuse problems associated with cycling are thought to occur due to a combination of repeated, vibratory stresses and the sustained but unnatural positions assumed by participants during long hours of riding over pavement or trail-like surfaces. The most commonly reported conditions afflict low back, neck, or knees and are the result of inefficient patterns of motor recruitment as well as environmental factors within the rider’s control. This review describes the mechanisms by which cycling-associated overuse conditions are proposed to develop and describes how education and a proper training regimen may help cyclists recover from overuse syndromes or prevent their onset altogether.
Theme:Health Promotion and Education

The Strategy to Successfully Innovate in Public Health Programs
Dr. Devasheesh Mathur, Senior Lecturer, Healthcare Management, Goa Institute of Management
Overview: The paper maps the journey of six policy innovations in India-from invention to implementation to record if there could be a coherent strategy to break the mold and innovate successfully in public health policies. These innovations are largely for the marginalized sections of the society. By studying three successful programs and three failed ones, the authors create a strategy of successful policy innovations called 4 I framework. One half of the framework is being called ‘Ecosystem Thinking’ as it requires the policy designer to collaborate with all stakeholders and use the Design Thinking process; while the other half is referred to as ‘Change Management’ as it demands that the public department goes through a series of changes internally before implementing the innovation.
Theme:Public Health Policies and Practices

Health Promotion of Health Care Professionals through Interprofessional, Intergenerational Contemplative Practices
Heather Wallace, Assistant Professor, Public Health, Grand Valley State University, Grand Rapids, United States
Overview: The benefits of contemplative practices have been demonstrated across specific health problems and among specific populations. A growing body of research on contemplative practices reflects that practitioners may experience a range of physical, social, and psychological benefits, including significant improvements in stress, emotional exhaustion, and depersonalization (Schroeder et al., 2016) as well as greater compassion, self-care and resilience which were found to be buffers of strain, distress, and burnout (Olson, Kemper, & Mahan, 2015). Likewise, studies of inter-generational learning in higher education point to numerous benefits including greater social capital, empathy, and decreases in ageist perspectives and attitudes. This session will discuss the results of a novel and innovative research project that investigated the use of contemplative practices, such as mindfulness meditation, visualization, deep listening, and contemplative movement, among a interprofessional and intergenerational group of patients, health care providers and health care students as a means to improving stress, role satisfaction, mindfulness, and compassion. Results suggest that an inter-generational and inter professional format to contemplative practice improves self perceived stress, empathy, and reduces ageism.
Theme:Interdisciplinary Health Sciences
15:25-15:40 Coffee Break / Pausa para el café
15:40-17:20 PARALLEL SESSIONS
Plenary Room Workshops / Talleres

Health and Wellness through Embodied Dialogue: The Work That Reconnects as a Theory and Method
Vincent Brown, PhD Candidate, Transformative Studies Department, California Institute of Integral Studies, Ukiah, CA, United States
Overview: The purpose of this workshop is to introduce participants to the Work That Reconnects (Macy & Brown, 2014; Macy and Johnstone, 2014) as a theory and model for group dialogue as a means of creating personal and social well-being. Conformity to social and cultural conditioning has created a kind of psychic-numbness in many people, especially men, called “Alexithymia, meaning without words for emotions, where men and women have trouble identifying and expressing their feelings” (Levant & Richmond, 2016). Turning this observation around, in order to heal this condition, people must learn how to self-inquiry, connect with and give voice to their feelings, emotions, joy, concerns, and fears. Personal and social fragmentation has made it difficult for communicating with each other, and because of the need to be right “the very attempt to improve communication leads frequently to yet more confusion, and more consequent sense of frustration inclines people ever further toward aggression and violence, rather than toward mutual understanding and trust” (Bohm, 1996). Gurdjieff (2012) suggests our social and cultural conditioning, self-knowledge is beyond us for time being, so we must be satisfied with self-study, or self-observation. Krishnamurti (1969) states that the journey to inner truth is a pathless land and the only tools we need are honest self-inquiry, awareness, and attention. If an inclusive healthy society based on personal and social well-being is to be realized people need tools and practice in discovering and speaking their truth and begin building trust. Demonstrating this is my goal.
Theme:2019 Special Focus: Inclusive Health and Wellbeing
Room 1 Innovation Showcase / Exposición de innovaciones

Suitable Topics for Parent Guidance on Healthy Food, Nutrition, and Lifestyle Behavior in At-risk School Communities
Prof. Ronel Ferreira, Department of Educational Psychology, University of Pretoria
Karien Botha, Department of Educational Psychology, University of Pretoria
Aliece Van Der Merwe, University of Pretoria, Pretoria, South Africa

Overview: At-risk school communities are often characterised by unhealthy practices in terms of food intake and lifestyle habits. In this paper, we report on the needs and expectations of parents from two primary schools in poverty-stricken areas in South Africa, for guidance on nutrition and healthy food intake, physical fitness and healthy lifestyle behaviour, and effective parenting practices. Data were generated during two Participatory Reflection and Action workshops, supported by observation, audio-visual techniques, field notes and reflective journals. Findings indicate that parents in at-risk school communities are eager to support the health and well-being of their families yet require guidance on how to do this, based on their unique circumstances and structural and psychological barriers preventing them from adopting a healthy lifestyle. In terms of nutrition and healthy food practices, participants indicated the need to be informed about healthy affordable food options, suitable portion sizes, adopting a balanced diet and how to prepare healthy meals that are tasty, affordable and enjoyable. With regard to physical activity and fitness, participants indicated that they required guidance on the best forms of physical activity, as well as the appropriate intensity and duration of different exercises. For psychosocial support and effective parenting, the participants indicated a need for guidance on understanding their children’s behaviour and developmental needs, on effective communication and problem-solving skills, and on parenting styles and discipline strategies. Finally, parents identified mobile technology as a suitable way to provide parental guidance in at-risk school-communities, in combination with parent evenings and written communication.
Theme:Health Promotion and Education

Wellness for All through Respect for People
Jordana Harshman, Wellness Manager: Employee Health Improvement and Lifestyle Management, Health Improvement Program, Stanford School of Medicine and Stanford Children's Health, Palo Alto, CA, United States
Overview: Stanford Children’s Health (SCH) may be one of the first organizations in the country to elevate wellness to a higher standard, and adopted the Stanford WellMD Center’s Professional Fulfillment (PF) Model, which targets three domains: Culture of Wellness, Personal Resilience, and Efficiency of Practice. SCH set goals for Quality, Affordability, Service, Innovation and Education, and Respect for People. SCH’s CHRO specifically drove two key initiatives through his domain, Respect for People: 1) 80% of all teams complete a Wellness Improvement Goal and 2) Administer the WellMD Center Wellness Survey to the entire hospital population. Executive leadership is now invented for fulfilling Wellness Improvement Goals. The wellness survey baseline results and PF model will guide ongoing strategic planning efforts. The current baseline was formed by administering the Wellness Survey to three groups: Stanford physicians in 2013 and 2016; Stanford Health Care (SHC) and SCH Advanced Practice Providers (APPs) in 2017; and all SCH team members in 2018. Professional Fulfillment (PF) and Burnout were the two primary outcomes assessed in the 2018 survey, which yielded a 67% response rate. 48% of SCH team members, 35% APPs, and 44% physicians reported PF. 30% of SCH team members, 36% of APPs, and 34% of physicians reported Burnout. Assessing differences between clinical and non-clinical SCH groups indicated that 46% of clinical and 52% of non-clinical team members reported PF, and 32% of clinical and 29% of non-clinical team members reported Burnout. SCH will continue to set wellness goals and refine its wellness and resilience offerings.
Theme:Health Promotion and Education

Toward Ending Hunger and Homelessness among College Students: Innovative Research-driven Campus-wide Food Programs and Gatekeeper Training Interventions to Support Basic Needs
Jennifer Maguire, Associate Professor, Social Work, Humboldt State University, Arcata, CA, United States
Brian Mistler, Student Health Center Director, Humboldt State University, Arcata, CA, United States
Mira Friedman, Health Center Supervisor, Humboldt State University, Arcata, CA, United States
Rashida Crutchfield, Assistant Professor, Humboldt State University, Arcata, CA, United States

Overview: College is a gateway to economic self-sufficiency, especially for first-generation students, yet many find the total costs of college exceed their expectations and abilities, negatively impacting health, retention and persistence. Students frequently endure challenges like hunger and homelessness along with under- or un-treated physical and mental health symptoms. The CSU Study of Student Basic Needs (Crutchfield & Maguire, 2018) is the most comprehensive mixed-methods study of university students’ prevalence of unmet food and housing needs, as well as relationships with health and academic outcomes ever completed within a 4-year higher education system. 41.6% of CSU students reported food insecurity and 10.9% of CSU students reported homelessness in the last 12 months. Qualitative data illustrate students’ experiences. Students with unmet basic needs also missed more days of school or work, often connected to health. Innovative practices are needed to promote health and wellbeing among students in ways that support their long-term success, and presenters will share information on two such programs: development and operation of a campus food program including a peer-educator managed food pantry, systematic collection and redistribution of catering leftovers, and targeted fund-raising, and, the free I CAN HELP Gatekeeper program used by a number of universities to increase wellness through both a reduction in risk factors for suicide and increased awareness of and appropriate helping behaviors among faculty, staff, and students related to health and other basic needs. We share key learning outcomes data and free resources participants can immediately take back to their own campus.
Theme:Health Promotion and Education

Taking Control over One’s Health Habits by Increasing Self-Awareness through Health Coaching
Gail Wood Miller, Health Coach, Educational Consultant, Independent Scholar, New York, New York, United States
Overview: Over 80% of Americans are not exercising enough to maintain physical and mental health (possibly resulting in obesity, diabetes, depression, and more): inactivity links with more deaths than smoking. Over 70% of Americans are overweight: over 30% of adults are considered obese as are about 20% of 12-19 year olds. Obesity can lead to high blood pressure, heart disease, diabetes, cancers, and other serious complications. Furthermore, U.S. physicians report insufficient patient feedback—asking questions, noting details of symptoms. A holistic health coach is neither a licensed nutritionist nor a trained physician, yet can help a client remedy these, and other, concerns through raising awareness and increasing their taking control of healthy habits. The focus is on the wholeness of each client—what they eat, how they live, what choices they make, and how satisfied they are with their lifestyle. My intent as a health coach is for clients to be able to coach themselves. This presentation’s goal is to empower participants to become integral in bettering their own health, through understanding holistic health coach practices, and learning how to apply them.
Theme:Health Promotion and Education
Room 3 Workshops / Talleres

Activating Teams to Create Joy in Work and Fight Burnout: Tools for Implementation
Alexandria Blacker, Wellness Manager, HealthySteps, Stanford School of Medicine, Stanford University, Stanford, CA, United States
Overview: What happens when you let teams take wellness into their own hands? At Stanford Health Care we wanted to find out. Recent studies indicate astoundingly high levels of burnout within the American workforce and particularly within healthcare. A Stanford study found that physicians with burnout have more than twice the odds of self-reported medical errors. We know from engagement surveys that burnout is not limited to physicians; all team members can be impacted. To fully understand how we can care for those that are constantly providing care to others, it is necessary to start at the grassroots level. Equip teams with tools to create positive change and provide support for a sustainable, healthy and safe environment. Blending findings from behavioral economics, change management theory, organizational psychology and happiness research, in collaboration with Human Resources and Occupational Health, Stanford Health Care developed team-based interventions that gave employees autonomy and control over when, where and how wellness-infused interventions were offered. This multidisciplinary approach allows teams to address workplace issues as they see fit, boosting psychological safety and enhancing the quality of medical care. Through an interactive design-thinking session featuring videos, experiential self- and team-care practices, and small group problem solving with case studies, participants will learn how to activate managers and team members to improve the culture of health. Participants will walk away with an individualized action plan to implement interventions that proactively tackle the drivers of burnout, enhance organizational leadership and boost team member engagement within their own organizations.
Theme:Health Promotion and Education

Examining Spirituality Domain through Meditation for Highly Sensitive Person
Erick Kong, Assistant Professor, Department of Hospitality, Recreation, and Tourism, California State University East Bay, Hayward, CA, United States
Keelin Jardin, Lecturer, California State University East Bay, Hayward, CA, United States

Overview: This educational and interactive session will introduce how to identify a Highly Sensitive Person (HSP) using a provided questionnaire. We will discuss on the different techniques to further understand energy from other people and how it affects the mental health on a daily basis. The workshop presentation will begin by recognizing spiritual sensitivity in ourselves and others based on evidence based practices. Also, research studies on spiritual domain and empath will be discussed. Attendees will then be instructed to participate in relaxation techniques using the de-stressing tools. These tools include "sighing" breathing technique and Emotional Freedom Technique (EFT). Studies finds that breathing pattern including sighing is a vital process that maintains overall health. In addition, sighing stimulates neural activity that resets breathing rates. Furthermore, EFT uses "tapping" method to various external body parts to reduce emotional stress. Participation outcomes include identifying two ways to measure client's emotional state during an initial encounter and utilize guided meditation as a form of intervention to address spiritual domain on Highly Sensitive Person. Furthermore, we will discuss the benefits of relaxation techniques as it relate to recreation therapy treatment.
Theme:Health Promotion and Education
17:20-17:50 Conference Closing & Award Ceremony / Clausura del Congreso y entrega de reconocimientos

Come join the plenary speakers and your fellow delegates for the International Conference on Health, Wellness & Society Closing Session and Award Ceremony, where there will be special recognition given to those who have helped at the conference as well as announcements for next year’s conference. The ceremony will be held in the plenary room directly following the last session of the day.

Únase a los ponentes plenarios y otros ponentes en la clausura del Congreso y ceremonia de entrega de reconocimientos donde se reconocerá la labor de todos aquellos que han hecho posible la celebración de Congreso y se anunciará el Congreso del próximo año. La ceremonia tendrá lugar en el sala de plenos de a continuación de la última sesión de la jornada.