Interprofessional Collaborative Practice: Management of Chronic Disease and Mental Health Issues in Primary Care.

This case study describes the process of implementing and evaluating an interprofessional collaborative practice (IPCP) program for primary care and behavioral health integration focused on chronic disease management. The result was a strong IPCP program in a nurse-led federally qualified health center serving medically underserved populations. The IPCP program at the Larry Combest Community Health and Wellness Center at the Texas Tech University Health Sciences Center spanned >10 years of planning, development, and implementation, supported by demonstration, grants, and cooperative grants from the Health Resources and Services Administration.

A maternity care home model of enhanced prenatal care to reduce preterm birth rate and NICU use.

Background: Centers for Medicare & Medicaid Services (CMS) funded 182 US health care sites to reduce preterm birth rates by enhancing prenatal care for at-risk women. As a funded site, the enhanced prenatal care maternity care home (MCH) model was implemented from 2013 to 2018 for 1042 Medicaid-eligible pregnant women.

Methods: This retrospective study evaluated the impact of enhanced services on preterm birth risk reduction.

Differentially expressed haptoglobin as a potential biomarker for type 2 diabetic mellitus in Hispanic population.

Glycosylated hemoglobin (HbA1c) measurement is currently a primary tool for diagnosis of type 2 diabetes mellitus (T2DM), especially for the assessment of chronic hyperglycemia. However, many studies reported the limitation of using HbA1c for T2DM diagnosis/prognosis, such as poor sensitivities, difficult standardization, and variable cut points across ethnic groups. Therefore, the aim of this study was to discover novel biomarkers associated with elevated HbA1c levels as complementary T2DM diagnostic tools.

A Multicomponent Intervention Helped Reduce Sugar-Sweetened Beverage Intake in Economically Disadvantaged Hispanic Children.

Purpose: This study aimed to examine the effect of a multicomponent intervention program on consumption of sugar-sweetened beverages (SSBs), and lifestyle factors associated with SSB intake, in Hispanic children from low-income families.

Design: A five-wave longitudinal study using a quasi-experimental design was conducted.

Setting: Five elementary schools in West Texas served as the setting.

Zumba® dance improves health in overweight/obese or type 2 diabetic women.

Objective: To evaluate the feasibility and health improvements from a Zumba® intervention in overweight/obese women.

Methods: Twenty-eight (14 type 2 diabetic and 14 non-diabetic) over-weight/obese women (BMI: 37.3±1.

Eight-year outcomes of a program for early prevention of cardiovascular events: a growth-curve analysis.

Background: Early identification of cardiovascular diseases allows us to prevent the progression of these diseases. The Bale/Doneen Method, a prevention and treatment program for heart attacks and ischemic strokes, has been adopted nationally in primary care and specialty clinics.

Objectives: The main purpose of this study was to evaluate the effect of the Bale/Doneen Method on lipoproteins and carotid intima-media thickness (IMT) for cardiovascular disease prevention and reduction.

Transformacion Para Salud: a patient navigation model for chronic disease self-management.

Increased cost of chronic illnesses in United States is an urgent call to develop a cost effective approach to improve chronic disease self-management, especially among vulnerable populations. An emerging role for professionals and paraprofessionals is the patient navigator. We present an example of a conceptual framework, Transformation for Health, developed to underpin the training of certified community health workers (CHW) to deliver health care, preventive services, and health education for underserved populations to promote chronic disease self-management.

Sedentary behaviors among Hispanic children: influences of parental support in a school intervention program.

Purpose: To examine the effect of parental support on sedentary behaviors among Hispanic children.

Design And Setting: A longitudinal quasi-experimental design with five waves of data collection was used to examine the effect of parental support on children's sedentary behaviors in a school-based intervention program in west Texas.

Subjects: Hispanic low-income parents and their children of 5 to 9 years (N = 416 child-parent dyads) over a 22-month period (1217 observations).

Effects of TV in the bedroom on young Hispanic children.

Purpose: The main purposes of this study were to assess TV viewing among Hispanic young children and to examine effects of having a TV in the child's bedroom (TVIB).

Design And Setting: A quasi-experimental design was used to evaluate an intervention program that is collecting longitudinal data in West Texas. However, the current report uses only the baseline data of the ongoing study.

State policy and research initiatives focused on improving nursing workforce: an integrative literature review.

The purpose of this chapter is to examine to and synthesize nursing workforce research and policy initiatives at the state level. An integrative literature review was systematically conducted using Ganong's Stages of an Integrative Research Review (1987). Searches were limited to English-language publications in the years from 2000 to 2010 which focused on workforce issues in the United States.

Transformation for health: a framework for conceptualizing health behaviors in vulnerable populations.

Shedding light on the factors and circumstances that operate to bring about marginalization of groups can facilitate appropriate responses to the issue of health disparities among vulnerable groups in society. This is showing to be a seemingly intractable problem; however, it may well be that the approaches currently used to respond to the issues are not appropriate because we overlook the "realties" that really matter: those emanating from the people being visited by these circumstances themselves. Under normal conditions, human behavior can only be controlled by the individual.

Planning and implementing an interdisciplinary diabetes workshop for healthcare professionals.

A diabetes education program for healthcare professionals evolved out of a series of discussions among healthcare providers. This group realized the importance and the necessity of developing a current knowledge base for themselves, their clients, and their clients' families. The target audiences for this program were physicians, nurses, pharmacists, and dietitians who could be eligible to work toward becoming a certified diabetes educator.

The need for a community diabetes education curriculum for healthcare professionals.

Healthcare professionals need valuable up-to-date information on diabetes management and skills to treat and educate patients with diabetes mellitus. The Diabetes Education for Healthcare Professionals program was developed to provide healthcare professionals with current diabetes management skills. It was also designed to increase the number of certified diabetes educators in the area in which it was delivered.

Transformation for health: a framework for health disparities research.

The task of generating knowledge addressing disparities in health among vulnerable populations in American society is explored. The community-based participatory approach as an alternate paradigm to traditional research is mentioned as a process for understanding the realities of the populations of interest. Identification and testing of mediating and moderating variables is suggested to guide the process of increasing knowledge regarding health disparities.

One vision of academic nursing centers.

Reconciling vision, mission, and financial realities into a successful socially responsive endeavor is a challenge for academic nursing centers. A financially viable faculty practice enterprise is a response to this challenge. Entrepreneurial management and strategy assist in establishing financial sustainability.

Health disparities among Asian Americans and Pacific Islanders.

The Asian American and Pacific Islander (AAPI) group is the fastest-growing minority group in the United States. AAPIs have been touted in the literature as the "model minority" because of their achievements in the socioeconomic and educational spheres, which in certain categories are beyond the average levels of the dominant majority. However, generalizations such as these are very misleading, because they mask the glaring health disparities that are experienced by subgroups within the AAPI population.