Optimizing Education to Improve COVID-19 Vaccination Rates in a Federally Qualified Health Center.

Introduction: COVID-19 vaccination hesitancy is prevalent in underserved communities, and family medicine clinics can combat hesitancy with vaccine education. However, due to general misinformation, physicians hesitate to educate patients because doing so can create conflict.

Methods: A series of resident-run, team-based quality improvement projects were conducted at a federally qualified health center every 4 months between June 2021 and May 2022.

Online Learning Challenges for Nursing Students in Appalachia.

It is known that nursing students in an online learning environment may experience challenges related to their quality of life and well-being. However, it is unknown what additional challenges students face in a resource-limited environment like Appalachia. This descriptive study surveyed 154 undergraduate nursing students from a single institution in the Appalachian region at the beginning of the COVID-19 pandemic.

Improving Cervical Cancer Screening Rates at an Urban Federally Qualified Health Center Family Medicine Residency Clinic.

Background Family medicine residency clinics and underserved Federally Qualified Health Center clinics often have lower rates of cervical cancer screening (CCS). Methods A series of resident-run, team-based quality improvement projects were conducted to iteratively improve CCS rates in an urban Federally Qualified Health Center in a high-need and high-demand region. Results The authors were able to improve CCS rates from 52.

Evaluating the Effect of Pre-Exam Adaptive Quizzing on Nursing Student Exam Scores.

Adaptive quizzing as a course requirement is presumed to proactively engage students to learn effectively while also promoting the mastery of course content. This study evaluates the strength of correlation between adaptive quizzing as a pre-exam course requirement and course exam success. Results showed a positive correlation between the number of adaptive quizzes completed and mastery level attained on course exam scores in the adaptive quizzing program.

Using nominal group technique among resident physicians to identify key attributes of a burnout prevention program.

Purpose: To identify preferred burnout interventions within a resident physician population, utilizing the Nominal Group Technique. The results will be used to design a discrete choice experiment study to inform the development of resident burnout prevention programs.

Methods: Three resident focus groups met (10-14 participants/group) to prioritize a list of 23 factors for burnout prevention programs.

Plant-based dietary intake moderates adverse childhood experiences association with early mortality in an older Adventist cohort.

Background: Adverse Childhood Experiences (ACEs) consistently predict poor mental and physical health as well as early all-cause mortality. Much work examines health harming behaviors that may be used to cope with ACEs associated stress responses and dysregulation. Limited research has been conducted assessing plant-based dietary intake on the ACEs and mortality relationship.

Egg intake moderates the rate of memory decline in healthy older adults.

Eggs contain important compounds related to enhanced cognition, but it is not clear if egg consumption, as a whole, has a direct impact on memory decline in older adults. This study aimed to determine whether egg intake levels predict the rate of memory decline in healthy older adults after sociodemographic and dietary controls. We conducted a secondary analysis of data from 470 participants, age 50 and over, from the Biospsychosocial Religion and Health Study.

Quality Improvement for Outpatient COVID-19 Infection Control.

Background To stop the spread of COVID-19 in outpatient primary care clinics, infection control strategies were needed including social distancing and masking in Fall 2020. Studies show a significant decrease in COVID-19 transmission when healthcare professionals comply with preventive measures. We tested whether an educational video would improve compliance to infection control behaviors quickly.

Pilot Feasibility Study of Incorporating Whole Person Care Health Coaching Into an Employee Wellness Program.

Prior research supports positive health coaching outcomes, but there is limited literature on the integration of employer-sponsored health coaching into employee wellness strategy. The aim of our mixed methods study was to assess feasibility, acceptability, and preliminary efficacy of incorporating a whole-person care model of health coaching into an employee wellness program (i.e.

Participation in a workplace smoking cessation program incentivized by lowering the cost of health care coverage: Findings from the LLUH BREATHE cohort.

Introduction: Systematic analyses of workplace smoking cessation programs indicate that efficacy can be enhanced by using incentives. There is variation in the type of incentives used and their effect on participation and efficacy. The aim of our study was to examine whether lowering employee health plan costs (employee contributions, co-pays) encourage employee smokers to participate in workplace smoking cessation.

Exercise, Flourishing, and the Positivity Ratio in Seventh-Day Adventists: A Prospective Study.

Purpose: Flourishing and mental health in the prediction of health behaviors such as exercise has been understudied. Positive emotions may promote, and negative emotions hinder protective health behaviors; however, the direction of these associations is unclear. The objective here was to investigate possible associations prospectively.

Adverse childhood experiences and depressive symptoms: Protective effects of dietary flavonoids.

Objectives: Adverse childhood experiences (ACEs) are associated with increased inflammation, stress, and depression. Diet patterns rich in flavonoids may buffer the effects of ACEs on depression through neuroprotective mechanisms. No studies have examined the protective effects of dietary flavonoids on depressive symptoms after ACEs.

Different Depression Treatment Recommendations and Adherence for Spanish- and English-Speaking Patients.

Introduction: National guidelines recommend primary care providers (PCPs) screen patients for depression with a standardized tool and address positive screenings. However, depression prevalence is lower in Latinos (8% to 15%, with Spanish speakers at 8%) than non-Latino whites (22%). As a result of these prevalence differences, PCPs may use ethnicity and language of the patient to determine depression screening behaviors.

Team Training in Family Medicine Residency Programs and Its Impact on Team-Based Practice Post-Graduation.

Objective: Our objective was to examine perceptions of adequacy in team-based care training during residency and whether this influences practice choice post- residency training.

Methods: We analyzed self-administered survey data from recent residency graduates collected as part of the Preparing Personal Physicians for Practice (P4) Project to characterize residents' perceptions of adequacy of training they received on team-based care. Multivariable logistic regression was used to assess the association between adequacy of team-based care training and joining practices that use team-based care after residency graduation, adjusting for differences in demographics.

Pathways from Religion to Health: Mediation by Psychosocial and Lifestyle Mechanisms.

Religiosity, often measured as attendance at religious services, is linked to better physical health and longevity though the mechanisms linking the two are debated. Potential explanations include: a healthier lifestyle, increased social support from congregational members, and/or more positive emotions. Thus far, these mechanisms have not been tested simultaneously in a single model though they likely operate synergistically.

Trans fatty acid intake and emotion regulation.

We examined whether there is a relationship between trans fatty acid intakes and emotion regulation, mediated by positive or negative affect. Archival data on 1699 men and 3293 women were used to measure trans fatty acid intake at baseline, positive, and negative affects and emotion regulation at follow-up. Higher trans fatty acid intake related to subsequent difficulties with emotional awareness (p = 0.

Bidirectional longitudinal study of type 2 diabetes and depression symptoms in black and white church going adults.

Background: There is a need to longitudinally examine depression and DM2 relationship in a population that values positive health behaviors. The aim of this study was to prospectively investigate the bidirectional relationship between depression and DM2.

Methods: A cohort sample of 4,746 Black (28.

Prevalence and correlates of pain interference in older adults: why treating the whole body and mind is necessary.

Our study presents pain-related interference rates in a sample of community-dwelling, older adults and determines factors associated with these restrictions. Participants were 9506 respondents to the Biopsychosocial Religion and Health Study (66.8% female and 33.

Mediterranean diet and emotion regulation.

Background: Mediterranean dietary patterns have been associated with cardiovascular and psychological health, including positive affect. Emotion regulation has not been linked to this pattern.

Objective: The present study prospectively examined the relationship between Mediterranean diet and later emotion regulation and whether positive or negative affect mediated any such relationship.

Religious Engagement in a Risky Family Model Predicting Health in Older Black and White Seventh-day Adventists.

In a structural equation model, associations among latent variables - Child Poverty, Risky Family exposure, Religious Engagement, Negative Social Interactions, Negative Emotionality, and Perceived Physical Health - were evaluated in 6,753 Black and White adults aged 35-106 years (M = 60.5, SD = 13.0).

Self-reported physical health, mental health, and comorbid diseases among women with irritable bowel syndrome, fibromyalgia, or both compared with healthy control respondents.

Context: Physicians often encounter patients with functional pain disorders such as irritable bowel syndrome (IBS), fibromyalgia (FM), and their co-occurrence. Although these diseases are diagnosed exclusively by patients' report of symptoms, there are few comparative studies about patients' perceptions of these diseases.

Objective: To compare perceptions of these conditions among 4 groups-3 clinical groups of older women with IBS, FM, or both disorders (IBS plus FM) and 1 similarly aged control group of women with no IBS or FM-using their responses to survey questions about stressful life events, general physical and mental health, and general medical, pain, and psychiatric comorbidities.

Correlates of perceived pain-related restrictions among women with fibromyalgia.

Objective: To identify correlates of perceived pain-related restrictions in a community sample of women with fibromyalgia.

Method: The fibromyalgia group was composed of white women with a self-reported, physician-given fibromyalgia diagnosis (N = 238) from the Biopsychosocial Religion and Health Study (BRHS). BRHS respondents had participated in the larger Adventist Health Study-2.

Traumatic experiences, major life stressors, and self-reporting a physician-given fibromyalgia diagnosis.

The contribution of stress to the pathophysiology of fibromyalgia has been the subject of considerable debate. The primary purpose of the present study was to evaluate the relationship between traumatic and major life stressors and a fibromyalgia diagnosis in a large group of older women and men. Data were from the federally funded Biopsychosocial Religion and Health Study, and subjects were 10,424 of the 10,988 survey respondents-two-thirds women and one-third men-providing responses to a fibromyalgia question.

Sexual offender recidivism risk: what we know and what we need to know.

If all sexual offenders are dangerous, why bother assessing their risk to reoffend? Follow-up studies, however, typically find sexual recidivism rates of 10%-15% after five years, 20% after 10 years, and 30%-40% after 20 years. The observed rates underestimate the actual rates because not all offences are detected; however, the available research does not support the popular notion that sexual offenders inevitably reoffend. Some sexual offenders are more dangerous than others.