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Alonzo L Plough - One of the best experts on this subject based on the ideXlab platform.

  • the los angeles county Community disaster resilience project a Community level public health initiative to build Community disaster resilience
    International Journal of Environmental Research and Public Health, 2014
    Co-Authors: David Eisenman, Anita Chandra, Stella Fogleman, Aizita Magana, Astrid Hendricks, Kenneth B Wells, Malcolm V Williams, Jennifer Tang, Alonzo L Plough
    Abstract:

    Public health officials need evidence-based methods for improving Community disaster resilience and strategies for measuring results. This methods paper describes how one public health department is addressing this problem. This paper provides a detailed description of the theoretical rationale, intervention design and novel evaluation of the Los Angeles County Community Disaster Resilience Project (LACCDR), a public health program for increasing Community disaster resilience. The LACCDR Project utilizes a pretest–posttest method with control Group design. Sixteen communities in Los Angeles County were selected and randomly assigned to the experimental Community resilience Group or the comparison Group. Community coalitions in the experimental Group receive training from a public health nurse trained in Community resilience in a toolkit developed for the project. The toolkit is grounded in theory and uses multiple components to address education, Community engagement, Community and individual self-sufficiency, and partnerships among Community organizations and governmental agencies. The comparison communities receive training in traditional disaster preparedness topics of disaster supplies and emergency communication plans. Outcome indicators include longitudinal changes in inter-organizational linkages among Community organizations, Community member responses in table-top exercises, and changes in household level Community resilience behaviors and attitudes. The LACCDR Project is a significant opportunity and effort to operationalize and meaningfully measure factors and strategies to increase Community resilience. This paper is intended to provide public health and academic researchers with new tools to conduct their Community resilience programs and evaluation research. Results are not yet available and will be presented in future reports.

David Eisenman - One of the best experts on this subject based on the ideXlab platform.

  • the los angeles county Community disaster resilience project a Community level public health initiative to build Community disaster resilience
    International Journal of Environmental Research and Public Health, 2014
    Co-Authors: David Eisenman, Anita Chandra, Stella Fogleman, Aizita Magana, Astrid Hendricks, Kenneth B Wells, Malcolm V Williams, Jennifer Tang, Alonzo L Plough
    Abstract:

    Public health officials need evidence-based methods for improving Community disaster resilience and strategies for measuring results. This methods paper describes how one public health department is addressing this problem. This paper provides a detailed description of the theoretical rationale, intervention design and novel evaluation of the Los Angeles County Community Disaster Resilience Project (LACCDR), a public health program for increasing Community disaster resilience. The LACCDR Project utilizes a pretest–posttest method with control Group design. Sixteen communities in Los Angeles County were selected and randomly assigned to the experimental Community resilience Group or the comparison Group. Community coalitions in the experimental Group receive training from a public health nurse trained in Community resilience in a toolkit developed for the project. The toolkit is grounded in theory and uses multiple components to address education, Community engagement, Community and individual self-sufficiency, and partnerships among Community organizations and governmental agencies. The comparison communities receive training in traditional disaster preparedness topics of disaster supplies and emergency communication plans. Outcome indicators include longitudinal changes in inter-organizational linkages among Community organizations, Community member responses in table-top exercises, and changes in household level Community resilience behaviors and attitudes. The LACCDR Project is a significant opportunity and effort to operationalize and meaningfully measure factors and strategies to increase Community resilience. This paper is intended to provide public health and academic researchers with new tools to conduct their Community resilience programs and evaluation research. Results are not yet available and will be presented in future reports.

Michael H Boyle - One of the best experts on this subject based on the ideXlab platform.

  • large Group Community based parenting programs for families of preschoolers at risk for disruptive behaviour disorders utilization cost effectiveness and outcome
    Journal of Child Psychology and Psychiatry, 1995
    Co-Authors: Charles E Cunningham, Rebecca Bremner, Michael H Boyle
    Abstract:

    A significant percentage of children with disruptive behavior disorders do not receive mental health assistance. Utilization is lowest among Groups whose children are at greatest risk. To increase the availability, accessibility, and cost efficacy of parent training programs, this prospective randomized trial compared a large Group Community-based parent training program to a clinic-based individual parent training (PT) programs. All families of junior kindergartners in the Hamilton public and separate school boards were sent a checklist regarding problems at home. Those returning questionnaires above the 90th percentile were block randomly assigned to: (1) a 12-week clinic-based individual parent training (Clinic/Individual), (2) a 12-week Community-based large Group parent training (Community/Group), or (3) a waiting list control condition. Immigrant families, those using English as a second language, and parents of children with severe behaviour problems were significantly more likely to enroll in Community/Groups than Clinic/Individual PT. Parents in Community/Groups reported greater improvements in behaviour problems at home and better maintenance of these gains at 6-month follow-up. A cost analysis showed that, with Groups of 18 families, Community/Groups are more than six times as cost effective as Clinic/Individual programs.

Bas Steunenberg - One of the best experts on this subject based on the ideXlab platform.

  • culturally sensitive care for elderly immigrants through ethnic Community health workers design and development of a Community based intervention programme in the netherlands
    BMC Public Health, 2013
    Co-Authors: Ilona Verhagen, Bas Steunenberg
    Abstract:

    Background: In Western countries, health and social welfare facilities are not easily accessible for elderly immigrants and their needs are suboptimally addressed. A transition is needed towards culturally sensitive services to overcome barriers to make cure and care accessible for elderly immigrants. We developed an intervention programme in which ethnic Community health workers act as liaisons between immigrant elderly and local health care and social welfare services. In this study we evaluate the effectiveness and the implementation of this intervention programme. Methods/design: In a quasi experimental design, the effectiveness of introduction of Community health workers, health needs assessment, and follow-up intervention programme will be evaluated in three (semi) urban residential areas in the Netherlands and compared with a control Group. Community health workers are selected from local ethnic communities and trained for the intervention. Data on health perception, quality of life, and care consumption are collected at baseline and after the intervention programme. Elderly’s informal care givers are included to examine caregiver burden. The primary outcome is use of health care and social welfare facilities by the elderly. Secondary outcomes are quality of life and functional impairments. The target number of participants is 194 immigrant elderly: 97 for the intervention Group and 97 for the control Group. Implementation of the intervention programme will be examined with focus Groups and data registration of Community health worker activities. Discussion: This study can contribute to the improvement of care for elderly immigrants by developing culturally sensitive care whereby they actively participate. To enable a successful transition, proper identification and recruitment of Community health workers is required. Taking this into account, the study aims to provide evidence for an approach to improve the care and access to care for elderly immigrants. Once proven effective, the Community health worker function can be further integrated into the existing local health care and welfare system. Trial registration: ISRCTN: ISRCTN89447795

Reisa A Sperling - One of the best experts on this subject based on the ideXlab platform.

  • the effectiveness of small Group Community based information sessions on clinical trial recruitment for secondary prevention of alzheimer s disease
    Alzheimer Disease & Associated Disorders, 2017
    Co-Authors: Sarah D Tarrant, Shoshana H Bardach, Kendra Bates, Heather Nichols, Jacqueline Towner, Clay Tamatha, Allison Cabanholt, Linda J Vaneldik, Richard R Murphy, Reisa A Sperling
    Abstract:

    Effective and practical recruitment strategies are needed to ensure successful recruitment into the Alzheimer disease clinical trials. To facilitate successful recruitment for the NIH-sponsored A4 (Anti-Amyloid treatment in Asymptomatic Alzheimer's disease, NCT02008357) trial for the secondary prevention of Alzheimer disease, we developed a small-Group Community information session to attract and recruit potential research participants. After a successful media campaign, 213 participants were screened through telephone for eligibility, identifying 127 potential participants. Participants were given the option of a traditional one-on-one recruitment session or a small-Group session. One-on-one recruitment was performed for 15 participants requesting this procedure, and yielded an overall recruitment rate of 67% (n=10). Substantially more individuals (n=112, 88%) requested small-Group sessions to learn about the study. After attending the small-Group informational sessions, 98% of potential participants self-reported a greater understanding of the study; and the recruitment rate from these sessions was 90%. Small-Group sessions not only improved recruitment success rates, but also contributed to significantly shorter median time for consent processes (20 vs. 60 min) and reduced staff time spent on persons not recruited. Small-Group education programs are an effective strategy for enhancing recruitment success and facilitating practical recruitment into clinical trials with high recruitment demands.