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Author: Susan Glockner Publisher: ISBN: Category : Languages : en Pages : 0
Book Description
Introduction: Exercise Is Medicine (EIM) addresses barriers to primary care-based physical activity (PA) promotion by leveraging technology-assisted decision support built into the electronic medical record to help providers integrate PA assessment, discussions, and prescription into routine care. This implementation science study describes the multi-stakeholder process used to adapt EIM for the UC San Diego Student-Run Free Clinic Project (SRFCP), led by medical students to serve an uninsured, primarily Spanish-speaking Latinx population), and evaluate it with the RE-AIM framework. Methods/Intervention: Adaptations to the EIM workflow to align with the SRFCP were made using a multi-stakeholder engaged process and tracked with the Framework for Reporting of Adaptations and Modifications Extended (FRAME-IS). The program was evaluated with the RE-AIM framework. Results: Process and content adaptations facilitated the integration of tailored components into existing workflows and alignment with patients' dominant Spanish language. Reach and adoption were high, with 62.4% and 89% of patient visits having EMR-documented physical activity vital sign (PAVS: minutes/week) and PA discussions, and 57% agreeing to health coaching. Among all who had more than one PAVS recorded, the mean significantly increased by 18 minutes/week during the third month of the intervention. Patients (86%) interviewed recalled exercise discussions. Medical student questionnaires indicated improvements in confidence of exercise discussions, and decreasing perceived barriers, while implementation team surveys indicated promising acceptability, appropriateness, and feasibility. Conclusion: Adapting and implementing EIM in an under-resourced community-based clinic demonstrated promising effectiveness and sustainability. Medical students felt confident about overcoming barriers to discussing exercise, while patients found EIM helpful.
Author: Susan Glockner Publisher: ISBN: Category : Languages : en Pages : 0
Book Description
Introduction: Exercise Is Medicine (EIM) addresses barriers to primary care-based physical activity (PA) promotion by leveraging technology-assisted decision support built into the electronic medical record to help providers integrate PA assessment, discussions, and prescription into routine care. This implementation science study describes the multi-stakeholder process used to adapt EIM for the UC San Diego Student-Run Free Clinic Project (SRFCP), led by medical students to serve an uninsured, primarily Spanish-speaking Latinx population), and evaluate it with the RE-AIM framework. Methods/Intervention: Adaptations to the EIM workflow to align with the SRFCP were made using a multi-stakeholder engaged process and tracked with the Framework for Reporting of Adaptations and Modifications Extended (FRAME-IS). The program was evaluated with the RE-AIM framework. Results: Process and content adaptations facilitated the integration of tailored components into existing workflows and alignment with patients' dominant Spanish language. Reach and adoption were high, with 62.4% and 89% of patient visits having EMR-documented physical activity vital sign (PAVS: minutes/week) and PA discussions, and 57% agreeing to health coaching. Among all who had more than one PAVS recorded, the mean significantly increased by 18 minutes/week during the third month of the intervention. Patients (86%) interviewed recalled exercise discussions. Medical student questionnaires indicated improvements in confidence of exercise discussions, and decreasing perceived barriers, while implementation team surveys indicated promising acceptability, appropriateness, and feasibility. Conclusion: Adapting and implementing EIM in an under-resourced community-based clinic demonstrated promising effectiveness and sustainability. Medical students felt confident about overcoming barriers to discussing exercise, while patients found EIM helpful.
Author: Miriam Catalina Avila Martinez Publisher: ISBN: Category : Languages : en Pages : 0
Book Description
Background/Purpose: The COVID-19 pandemic has negatively affected the mental health and wellbeing of college students, as well as behaviors such as physical activity. Exercise is Medicine On Campus (EIM-OC) calls upon universities and colleges to promote physical activity as a vital sign of health. The aim of this study was to evaluate the reach and effectiveness of the virtual EIM-OC campaign and its effects on college students' physical activity behaviors and selected social cognitive theory (SCT) variables. As a secondary aim, we also assessed physical activity behavior and barriers among college students during the COVID-19 pandemic. Methods: We conducted an online baseline survey at the end of September 2020 and a follow up survey at the beginning of November 2020. A total of 469 K-State students (n = 362 females; n = 82 kinesiology majors) completed the baseline survey, and 337 of these participants completed the follow-up survey. Throughout October (EIM-OC month), K-State conducted a variety of virtual events to promote physical activity on campus, including Lunch and Learn presentations by Kinesiology faculty, weekly physical activity challenges, a monthlong Bingo challenge, daily social media posts, and a Distinguished Lecture Series presentation. Changes in physical activity and SCT variables (self-efficacy, self-regulation, outcome expectations, and perceived community support) from baseline to follow-up were assessed using parametric and non-parametric tests. Results: Of the 337 individuals who completed the follow up survey, 97 (28.8%) said they had heard of EIM-OC month at K-State. Kinesiology students were significantly more likely to have heard of EIM-OC than non-Kinesiology students ([chi]2 = 129.8, p
Author: World Health Organization Publisher: World Health Organization ISBN: 9241514183 Category : Health & Fitness Languages : en Pages : 104
Book Description
Regular physical activity is proven to help prevent and treat noncommunicable diseases (NCDs) such as heart disease stroke diabetes and breast and colon cancer. It also helps to prevent hypertension overweight and obesity and can improve mental health quality of life and well-being. In addition to the multiple health benefits of physical activity societies that are more active can generate additional returns on investment including a reduced use of fossil fuels cleaner air and less congested safer roads. These outcomes are interconnected with achieving the shared goals political priorities and ambition of the Sustainable Development Agenda 2030. The new WHO global action plan to promote physical activity responds to the requests by countries for updated guidance and a framework of effective and feasible policy actions to increase physical activity at all levels. It also responds to requests for global leadership and stronger regional and national coordination and the need for a whole-of-society response to achieve a paradigm shift in both supporting and valuing all people being regularly active according to ability and across the life course. The action plan was developed through a worldwide consultation process involving governments and key stakeholders across multiple sectors including health sports transport urban design civil society academia and the private sector.
Author: Institute of Medicine Publisher: National Academies Press ISBN: 030913319X Category : Medical Languages : en Pages : 191
Book Description
The Institute of Medicine study Crossing the Quality Chasm (2001) recommended that an interdisciplinary summit be held to further reform of health professions education in order to enhance quality and patient safety. Health Professions Education: A Bridge to Quality is the follow up to that summit, held in June 2002, where 150 participants across disciplines and occupations developed ideas about how to integrate a core set of competencies into health professions education. These core competencies include patient-centered care, interdisciplinary teams, evidence-based practice, quality improvement, and informatics. This book recommends a mix of approaches to health education improvement, including those related to oversight processes, the training environment, research, public reporting, and leadership. Educators, administrators, and health professionals can use this book to help achieve an approach to education that better prepares clinicians to meet both the needs of patients and the requirements of a changing health care system.
Author: Adam Bohr Publisher: Academic Press ISBN: 0128184396 Category : Computers Languages : en Pages : 385
Book Description
Artificial Intelligence (AI) in Healthcare is more than a comprehensive introduction to artificial intelligence as a tool in the generation and analysis of healthcare data. The book is split into two sections where the first section describes the current healthcare challenges and the rise of AI in this arena. The ten following chapters are written by specialists in each area, covering the whole healthcare ecosystem. First, the AI applications in drug design and drug development are presented followed by its applications in the field of cancer diagnostics, treatment and medical imaging. Subsequently, the application of AI in medical devices and surgery are covered as well as remote patient monitoring. Finally, the book dives into the topics of security, privacy, information sharing, health insurances and legal aspects of AI in healthcare. Highlights different data techniques in healthcare data analysis, including machine learning and data mining Illustrates different applications and challenges across the design, implementation and management of intelligent systems and healthcare data networks Includes applications and case studies across all areas of AI in healthcare data
Author: John A. Vaughn Publisher: Springer ISBN: 9783030563080 Category : Medical Languages : en Pages : 0
Book Description
This unique and comprehensive title offers state-of-the-art guidance on all of the clinical principles and practices needed in providing optimal health and well-being services for college students. Designed for college health professionals and administrators, this highly practical title is comprised of 24 chapters organized in three sections: Common Clinical Problems in College Health, Organizational and Administrative Considerations for College Health, and Population and Public Health Management on a College Campus. Section I topics include travel health services, tuberculosis, eating disorders in college health, and attention deficit hyperactivity disorder among college students, along with several other chapters. Subsequent chapters in Section II then delve into topics such as supporting the health and well-being of a diverse student population, student veterans, health science students, student safety in the clinical setting, and campus management of infectious disease outbreaks, among other topics. The book concludes with organizational considerations such as unique issues in the practice of medicine in the institutional context, situating healthcare within the broader context of wellness on campus, organizational structures of student health, funding student health services, and delivery of innovative healthcare services in college health. Developed by a renowned, multidisciplinary authorship of leaders in college health theory and practice, and coinciding with the founding of the American College Health Association 100 years ago, Principles and Practice of College Health will be of great interest to college health and well-being professionals as well as college administrators.
Author: Committee on Comprehensive School Health Programs in Grades K-12 Publisher: National Academies Press ISBN: 0309578582 Category : Education Languages : en Pages : 513
Book Description
Schools and Health is a readable and well-organized book on comprehensive school health programs (CSHPs) for children in grades K-12. The book explores the needs of today's students and how those needs can be met through CSHP design and development. The committee provides broad recommendations for CSHPs, with suggestions and guidelines for national, state, and local actions. The volume examines how communities can become involved, explores models for CSHPs, and identifies elements of successful programs. Topics include: The history of and precedents for health programs in schools. The state of the art in physical education, health education, health services, mental health and pupil services, and nutrition and food services. Policies, finances, and other elements of CSHP infrastructure. Research and evaluation challenges. Schools and Health will be important to policymakers in health and education, school administrators, school physicians and nurses, health educators, social scientists, child advocates, teachers, and parents.
Author: Institute of Medicine Publisher: National Academies Press ISBN: 0309164257 Category : Medical Languages : en Pages : 267
Book Description
Healthcare decision makers in search of reliable information that compares health interventions increasingly turn to systematic reviews for the best summary of the evidence. Systematic reviews identify, select, assess, and synthesize the findings of similar but separate studies, and can help clarify what is known and not known about the potential benefits and harms of drugs, devices, and other healthcare services. Systematic reviews can be helpful for clinicians who want to integrate research findings into their daily practices, for patients to make well-informed choices about their own care, for professional medical societies and other organizations that develop clinical practice guidelines. Too often systematic reviews are of uncertain or poor quality. There are no universally accepted standards for developing systematic reviews leading to variability in how conflicts of interest and biases are handled, how evidence is appraised, and the overall scientific rigor of the process. In Finding What Works in Health Care the Institute of Medicine (IOM) recommends 21 standards for developing high-quality systematic reviews of comparative effectiveness research. The standards address the entire systematic review process from the initial steps of formulating the topic and building the review team to producing a detailed final report that synthesizes what the evidence shows and where knowledge gaps remain. Finding What Works in Health Care also proposes a framework for improving the quality of the science underpinning systematic reviews. This book will serve as a vital resource for both sponsors and producers of systematic reviews of comparative effectiveness research.
Author: Sheri R. Colberg Publisher: American Diabetes Association ISBN: 158040507X Category : Medical Languages : en Pages : 554
Book Description
Physical movement has a positive effect on physical fitness, morbidity, and mortality in individuals with diabetes. Although exercise has long been considered a cornerstone of diabetes management, many health care providers fail to prescribe it. In addition, many fitness professionals may be unaware of the complexities of including physical activity in the management of diabetes. Giving patients or clients a full exercise prescription that take other chronic conditions commonly accompanying diabetes into account may be too time-consuming for or beyond the expertise of many health care and fitness professionals. The purpose of this book is to cover the recommended types and quantities of physical activities that can and should be undertaken by all individuals with any type of diabetes, along with precautions related to medication use and diabetes-related health complications. Medications used to control diabetes should augment lifestyle improvements like increased daily physical activity rather than replace them. Up until now, professional books with exercise information and prescriptions were not timely or interactive enough to easily provide busy professionals with access to the latest recommendations for each unique patient. However, simply instructing patients to “exercise more” is frequently not motivating or informative enough to get them regularly or safely active. This book is changing all that with its up-to-date and easy-to-prescribe exercise and physical activity recommendations and relevant case studies. Read and learn to quickly prescribe effective and appropriate exercise to everyone.
Author: Institute of Medicine Publisher: National Academies Press ISBN: 0309133181 Category : Medical Languages : en Pages : 536
Book Description
The anthrax incidents following the 9/11 terrorist attacks put the spotlight on the nation's public health agencies, placing it under an unprecedented scrutiny that added new dimensions to the complex issues considered in this report. The Future of the Public's Health in the 21st Century reaffirms the vision of Healthy People 2010, and outlines a systems approach to assuring the nation's health in practice, research, and policy. This approach focuses on joining the unique resources and perspectives of diverse sectors and entities and challenges these groups to work in a concerted, strategic way to promote and protect the public's health. Focusing on diverse partnerships as the framework for public health, the book discusses: The need for a shift from an individual to a population-based approach in practice, research, policy, and community engagement. The status of the governmental public health infrastructure and what needs to be improved, including its interface with the health care delivery system. The roles nongovernment actors, such as academia, business, local communities and the media can play in creating a healthy nation. Providing an accessible analysis, this book will be important to public health policy-makers and practitioners, business and community leaders, health advocates, educators and journalists.
Author: Susan Glockner
Author: Susan Glockner
Author: Miriam Catalina Avila Martinez
Author: World Health Organization
Author: Institute of Medicine
Author: Adam Bohr
Author: John A. Vaughn
Author: Committee on Comprehensive School Health Programs in Grades K-12
Author: Institute of Medicine
Author: Sheri R. Colberg
Author: Institute of Medicine