{"title":"Photo-elicitation: Reflections on a method to study food insecurity among low-income, post-9/11 veterans.","authors":"Nipa Kamdar, Daphne Hernandez","doi":"10.1111/phn.12989","DOIUrl":"https://doi.org/10.1111/phn.12989","url":null,"abstract":"<p><p>Photo-elicitation is a research method in which participants use visual images (e.g., photographs) to convey their experiences. It is a useful method for public health nurses to research complex topics among vulnerable populations. This article focuses on the granular details of one research team's implementation of photo-elicitation to study food insecurity among low-income veterans raising children. They detail three sessions with participants during which they: (1) described the process of photo-elicitation; (2) completed photo-guided interviews; and (3) sought participant input through member checking. The article also includes reflections on their experiences as researchers implementing the photo-elicitation process. Among their insights was an appreciation for the range of emotions participants experienced as they shared their narratives. These emotions and the associated photos contributed to the rich data generated from the interviews. The researchers used the images and participant captions generated through photo-elicitation to raise awareness of and build empathy for the challenges and situations veterans who are food insecure experience. In this way, photo-elicitation may be used as an advocacy tool to capture the attention of policymakers and other key stakeholders.</p>","PeriodicalId":233433,"journal":{"name":"Public Health Nursing (Boston, Mass.)","volume":" ","pages":"336-343"},"PeriodicalIF":2.1,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39507259","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Linda Weiss, Elizabeth Quint, Christopher Leto, Ivana Vaughn, Alba Redrovan, Marta Fernandes, Kianna Lamourt, Colin Edgar, Ada Reso
{"title":"Evaluation of an Integrated Health Promotion Program for a low-income urban population: Findings and lessons learned.","authors":"Linda Weiss, Elizabeth Quint, Christopher Leto, Ivana Vaughn, Alba Redrovan, Marta Fernandes, Kianna Lamourt, Colin Edgar, Ada Reso","doi":"10.1111/phn.12839","DOIUrl":"https://doi.org/10.1111/phn.12839","url":null,"abstract":"<p><strong>Objectives: </strong>To evaluate a multicomponent pilot program for low-income individuals with, or at risk for, hypertension, diabetes, and/or overweight.</p><p><strong>Design: </strong>Pre-post evaluation including baseline and follow-up assessments, satisfaction surveys, program utilization data, and focus groups.</p><p><strong>Sample: </strong>The evaluation included 138 participants. The majority were Latinx (88%), female (82%), born outside the United States (80%), and had not graduated from high school (52%). The most common health conditions were hypertension (59%), overweight or obesity (55%), high cholesterol (53%), and diabetes (34%).</p><p><strong>Measurements: </strong>Engagement in program activities, health indicators (e.g., blood pressure), and behavior change. Qualitative data focused on perceptions of the program and its impacts.</p><p><strong>Intervention: </strong>The program offered a number of health promotion services, including consultation with a nurse and a community health worker (CHW), health and nutrition talks, subsidized farm shares, cooking classes, exercise classes, and home visits.</p><p><strong>Results: </strong>There were improvements in general health, blood pressure, and knowledge and behavior related to disease management and healthy eating.</p><p><strong>Conclusions: </strong>Program success was attributed to the wide range of complementary program components. The staffing model was also a strength: the CHW/nurse collaboration combined clinical expertise with cultural, language, and community knowledge to create a program that was accessible and empowering.</p>","PeriodicalId":233433,"journal":{"name":"Public Health Nursing (Boston, Mass.)","volume":" ","pages":"571-578"},"PeriodicalIF":2.1,"publicationDate":"2021-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1111/phn.12839","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38624174","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Peninnah M Kako, Emmanuel Ngui, Tavonna Kako, Florine Ndakuya-Fitzgerald, Lucy Mkandawire-Valhmu, Anne E Dressel, Augustine Kiplagat, Leonard E Egede
{"title":"Sustaining peer support groups: Insights from women living with HIV in rural Kenya.","authors":"Peninnah M Kako, Emmanuel Ngui, Tavonna Kako, Florine Ndakuya-Fitzgerald, Lucy Mkandawire-Valhmu, Anne E Dressel, Augustine Kiplagat, Leonard E Egede","doi":"10.1111/phn.12879","DOIUrl":"https://doi.org/10.1111/phn.12879","url":null,"abstract":"<p><strong>Objective: </strong>As HIV transitions to a chronic disease, measures that foster continued health are critical. Peer support groups can help in reducing stigma and ensuring wellbeing for those living with HIV. The purpose of our study was to gain an understanding of the ways in which women living with HIV in rural areas sustain peer support groups.</p><p><strong>Design and sample: </strong>For this descriptive qualitative study, 20 women living with HIV participated in the study. Women were randomly divided into two peer support groups of ten women each; the groups met over a 12-month period. monthly for the first two months and then every three months for the remainder of the year.</p><p><strong>Results: </strong>Discussion themes indicated women found ways to sustain the groups by using them as a platform for engaging in income generation; starting and participating in table banking; addressing food security; and finding financial and moral support. Problem-solving challenges of sustaining peer support groups was also a major theme.</p><p><strong>Conclusion: </strong>As people live longer with HIV, long-term peer support will be needed to maintain wellbeing. Community-based peer support groups can be sustained by engaging women in common income-generation activities.</p>","PeriodicalId":233433,"journal":{"name":"Public Health Nursing (Boston, Mass.)","volume":" ","pages":"588-595"},"PeriodicalIF":2.1,"publicationDate":"2021-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1111/phn.12879","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"25526879","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Photo-experiencing and reflective listening: A trauma-informed photo-elicitation method to explore day-to-day health experiences.","authors":"Laura Sinko, Denise Saint Arnault","doi":"10.1111/phn.12904","DOIUrl":"https://doi.org/10.1111/phn.12904","url":null,"abstract":"<p><p>Despite the promise of photography in research, few methods offer a guide to leverage this medium in conjunction with experience sampling to facilitate individual reflection while capturing the experiences of participants as they interact with their social world. The purpose of this paper is to introduce a new photo-elicitation method to add to the photography research repertoire, Photo-experiencing and Reflective Listening (PEARL). PEARL leverages the benefits of experience sampling, mindful self-awareness, and trauma-informed interviewing to document daily health experiences. After engaging in an at-home photography activity, participants meet for a one-on-one interview to share and cluster their photographs to discuss key themes and needs going forward. Using a study aimed to understand the recovery experiences of survivors of sexual violence, we illustrate how PEARL can be applied to study a population of interest. The products developed through PEARL provide rich opportunities for analysis, dissemination, story amplification, and action, making it a research method helpful for those interested in improving health equity and catalyzing social change. Because of the high satisfaction voiced by the participants of this approach, PEARL shows promise as a therapeutic data collection method, where the participants leave with some benefit through new awareness gained.</p>","PeriodicalId":233433,"journal":{"name":"Public Health Nursing (Boston, Mass.)","volume":" ","pages":"661-670"},"PeriodicalIF":2.1,"publicationDate":"2021-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1111/phn.12904","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"25556625","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Prevalence of respiratory tract infections and influencing factors: A cross-sectional survey in Anhui Province, China.","authors":"Ting Zhu, Pinglan Zhang, Xingrong Shen, Jing Cheng, Jing Chai, Rui Feng, Debin Wang","doi":"10.1111/phn.12874","DOIUrl":"https://doi.org/10.1111/phn.12874","url":null,"abstract":"<p><strong>Objectives: </strong>This study used available data to analyze the prevalence and influencing factors of various Respiratory tract infections (RTIs), to better our understanding of the local and national epidemiology, and to inform future prevention and control programs.</p><p><strong>Design: </strong>We used a structured questionnaire to solicit information about social demographics and symptoms of the last RTI administered with stratified clustered randomized sampling. Descriptive analysis was used to investigate the reported symptoms, and multivariate logistic regression models to identify relationships between the prevalence and influencing factors of common RTIs.</p><p><strong>Results: </strong>The study documented a prevalence rate of 1.5% for common cold, 0.5% for influenza, and 0.9% for 9-AURTIs (nine acute upper RTIs, including acute pharyngitis, sore throat, acute tonsillitis, acute suppurative tonsillitis, acute laryngitis, acute bronchitis, acute pharyngitis, acute upper RTI, and viral upper RTI), adding up to 3.4% of overall RTIs in the past 2 weeks. Results also revealed a L-shaped trend along age-axis for all the RTIs, and marginal to moderate associations between RTIs and other commonly researched factors (education, body mass index, sex, and annual income), as well as environmental and behavior factors.</p><p><strong>Conclusions: </strong>RTIs in Anhui, China are common and associated with a variety of socio-demographic, behavioral, and environmental factors. RTIs merit better epidemiological understanding and added interventions tailored to efforts in reducing their health and economic burden. These understandings and efforts are especially relevant for public health nurses since most RTI patients are treated in community settings.</p>","PeriodicalId":233433,"journal":{"name":"Public Health Nursing (Boston, Mass.)","volume":" ","pages":"542-554"},"PeriodicalIF":2.1,"publicationDate":"2021-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1111/phn.12874","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"25425532","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
C Nadine Wathen, Jennifer C D MacGregor, Sandy Beyrem
{"title":"Impacts of trauma- and violence-informed care education: A mixed method follow-up evaluation with health & social service professionals.","authors":"C Nadine Wathen, Jennifer C D MacGregor, Sandy Beyrem","doi":"10.1111/phn.12883","DOIUrl":"https://doi.org/10.1111/phn.12883","url":null,"abstract":"<p><strong>Objectives: </strong>Trauma- and violence-informed care (TVIC) creates safety by understanding the impacts of trauma on health and behavior, and the intersecting impacts of structural and interpersonal violence. This study examined the impact, 1-2 years later, of TVIC professional education.</p><p><strong>Design, sample and measurements: </strong>We conducted a mixed method descriptive follow-up evaluation (online survey, n = 67, and semi-structured interviews, n = 7) with health and social service providers, leaders and researchers who attended TVIC workshops. Participants were asked how the workshop impacted their thinking, actions and perceptions of organizational changes.</p><p><strong>Results: </strong>Participants reported greater impact on attitudes than on behaviors. The most common change in awareness and thinking related to better understanding of the links among trauma, pain and substance use. Practice changes included more active listening and empathy, less use of jargon and less judgement in care encounters. Participants linked these practices to better care interactions, and more trust, openness and satisfaction among service users.</p><p><strong>Conclusion: </strong>Educating health professionals and others (e.g. educators) about trauma, violence, and discrimination is not easy. TVIC education can help shift potentially stigmatizing attitudes which can then precipitate practice change. These approaches are emerging as an important way to improve health and quality of life.</p>","PeriodicalId":233433,"journal":{"name":"Public Health Nursing (Boston, Mass.)","volume":" ","pages":"645-654"},"PeriodicalIF":2.1,"publicationDate":"2021-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1111/phn.12883","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"25409408","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Lihong Ou, Angela Chia-Chen Chen, Elizabeth Reifsnider
{"title":"Review of Chinese young adults' human papillomavirus knowledge, attitudes, and vaccine acceptability.","authors":"Lihong Ou, Angela Chia-Chen Chen, Elizabeth Reifsnider","doi":"10.1111/phn.12893","DOIUrl":"https://doi.org/10.1111/phn.12893","url":null,"abstract":"<p><strong>Objective: </strong>The human papillomavirus (HPV) vaccine is effective in reducing HPV-related disease. The 2-, 4-, and 9-valent HPV vaccines have been approved by the Chinese FDA since 2016; however, factors associated with HPV vaccine acceptability and use in Chinese young adults remain unclear.</p><p><strong>Design and sample: </strong>We conducted a systematic review to analyze factors affecting HPV vaccine acceptability and use in Chinese young adults. A comprehensive search of databases (e.g., PubMed, CINAHL, and PsycINFO) was conducted, and articles between 2011 and 2020 were included.</p><p><strong>Results: </strong>Seventeen studies were included in the final review, and eleven were conducted in mainland China and six in Hong Kong. All studies reported low level of HPV-related knowledge. Better knowledge, more concerns about HPV-associated diseases, and being female were found associated with higher vaccine acceptability. The vaccine cost and safety were the major concerns for vaccination.</p><p><strong>Conclusions: </strong>Findings suggested a low level of HPV-related knowledge and suboptimal vaccination rate in Chinese young adults. Theory-based interventions addressing knowledge and other influencing factors and involving both males and females are urgently needed to increase vaccine acceptability and use in Chinese young adults.</p>","PeriodicalId":233433,"journal":{"name":"Public Health Nursing (Boston, Mass.)","volume":" ","pages":"701-714"},"PeriodicalIF":2.1,"publicationDate":"2021-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1111/phn.12893","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"25484728","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"COVID-19 updates: Real-time epidemiology for BSN community/public health nursing course.","authors":"Cindy Farris","doi":"10.1111/phn.12890","DOIUrl":"https://doi.org/10.1111/phn.12890","url":null,"abstract":"<p><p>Teaching nursing students about epidemiology is often a daunting task, with many lacking the knowledge and application of and interest in epidemiological elements. Baccalaureate science nursing (BSN) essentials state that BSN nursing students need educational applications for health promotion and disease prevention for effective population-based communities. The COVID-19 pandemic data have allowed for real-time analysis and synthesis of live application of data which meets the specific requirements on current and future epidemiological problems. Nursing students can monitor weekly trends through disease surveillance and application to the surrounding community, providing for effective critical thinking and clinical judgment. Comparing weekly changes in data assists in developing interest on applying this information for practice. Discussion about background evidence, valid national, regional, and local websites, specific implementation steps, and overall student reflection feedback will be discussed.</p>","PeriodicalId":233433,"journal":{"name":"Public Health Nursing (Boston, Mass.)","volume":" ","pages":"655-660"},"PeriodicalIF":2.1,"publicationDate":"2021-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1111/phn.12890","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"25484729","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"The experience of individuals placed in quarantine: A systematic review, meta-summary, and meta-synthesis.","authors":"Martina Basso, Erica Visintini, Illarj Achil, Stefano Fabris, Elisa Mattiussi, Matteo Danielis, Alvisa Palese","doi":"10.1111/phn.12910","DOIUrl":"https://doi.org/10.1111/phn.12910","url":null,"abstract":"<p><strong>Objective: </strong>To summarize the experience of individuals placed in quarantine during an outbreak.</p><p><strong>Design: </strong>A meta-summary and a meta-synthesis based upon a systematic review of qualitative studies.</p><p><strong>Sample: </strong>The Cumulative Index of Nursing and Allied Health Literature, MEDLINE, and Scopus databases were all searched up to April 2020.</p><p><strong>Measurements: </strong>The Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines were followed; then, the methodological quality of the studies included was assessed with the Critical Appraisal Screening Programme tool for qualitative studies.</p><p><strong>Results: </strong>Five studies have been included documenting the experience of 125 adult individuals. A total of 16 codes emerged: in the meta-summary, the most and least frequent codes were \"Thinking about quarantine\" (80%) and \"Emotional roller coaster,\" \"Being alert for any symptom,\" \"Trusting or not?,\" \"Knowing who brought the infection,\" and \"Living in a surreal world\" (20%). The codes which emerged were categorized into three main themes which summarized the whole experience of being placed in quarantine: (a) \"Being swamped with a thousand emotions\"; (b) \"Being restrained\"; and (c) \"Needing to be considered.\"</p><p><strong>Conclusions: </strong>The experience of quarantine for people is a long journey which can feel chaotic due to uncertainty about the consequences on health, work, and the future. The findings of this study can help nurses in caring for quarantined individuals by enabling them to understand people's need for educational and emotional support. Ensuring the supply of consistent information is also important to increase people's compliance.</p>","PeriodicalId":233433,"journal":{"name":"Public Health Nursing (Boston, Mass.)","volume":" ","pages":"627-636"},"PeriodicalIF":2.1,"publicationDate":"2021-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1111/phn.12910","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38945391","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Dominique Bulgin, Colette A Whitney, Melanie Bakovic, Yunah Kang, Bradi B Granger, Holly R Biola
{"title":"Lessons from implementing community-based group classes for severe hypertension.","authors":"Dominique Bulgin, Colette A Whitney, Melanie Bakovic, Yunah Kang, Bradi B Granger, Holly R Biola","doi":"10.1111/phn.12881","DOIUrl":"https://doi.org/10.1111/phn.12881","url":null,"abstract":"<p><p>Due to the impact of persistent structural racism, Black men have low rates of hypertension treatment and control despite having high rates of hypertension-related mortality. Peer-based education can improve blood pressure monitoring and lower blood pressure in Black men with hypertension. To address this disparity, we implemented weekly community-based group classes for severe hypertension at a Federally Qualified Health Center. After 9 months, 28 classes were held and 96 individuals were served. Fifty-six percent of the person-hours of attendance have been by Black men. Seven individuals were interviewed about their perspectives and preferences for the classes. They reported that the peer-based model of the group classes was advantageous, and they would recommend the classes to a friend. Successes of implementation included (a) ability to facilitate medication adjustments for participants with blood pressure readings that were over target goal, (b) capacity to give participants take-home blood pressure monitors, (c) and the community-centered approach. Challenges included variability in attendance by participants and retention of individuals with uncontrolled hypertension in primary care. These findings have implications for other Federally Qualified Health Centers seeking to design similar health promotion programs and policy makers evaluating the funding and reimbursement models for community-based disease management programs.</p>","PeriodicalId":233433,"journal":{"name":"Public Health Nursing (Boston, Mass.)","volume":" ","pages":"675-679"},"PeriodicalIF":2.1,"publicationDate":"2021-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1111/phn.12881","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"25369246","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}