{"title":"Trauma Informed Care Can Enhance Whole Person Care to Meet the Quadruple Aim","authors":"Rebecca Perley, Barbara Ganzel","doi":"10.14485/hbpr.10.5.3","DOIUrl":"https://doi.org/10.14485/hbpr.10.5.3","url":null,"abstract":"Objective: Whole person care typically includes a biopsychosocial, interdisciplinary treatment approach with the intent of improved health outcomes and savings in total dollars spent on healthcare providers and services. Its multidimensional approach to a patient’s physical and mental health makes it the model of choice for achieving the quadruple aim of healthcare reform. However, we argue that whole person care is incomplete in its current form due to its lack of attention to the public health impact of stress and psychological trauma. Methods: We used seminal articles, original research and theory, and a variety of databases such as PubMed, and Google Scholar to research our topic. Results: Whole person care would benefit from the integration of traumainformed care practices, so that it can better meet the quadruple aim by addressing these broader public health concerns. Trauma-informed care was selected because it understands, recognizes, and responds appropriately to trauma in patients and providers, which enhances the effectiveness of healthcare delivery and reduces the impact of social inequity. Conclusion: Integrating traumainformed care into whole person care can help achieve the quadruple aim, as well as the newly proposed fifth aim of advancing health equity, because social inequity increases stress and exposure to psychological trauma.","PeriodicalId":44486,"journal":{"name":"Health Behavior and Policy Review","volume":"87 1","pages":""},"PeriodicalIF":0.8,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139325452","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":"Improving the Participation Rates of Freelance Laborers in Voluntary Social Insurance Programs in Thai Nguyen, Vietnam","authors":"Luong Bui, Dung Nguyen, Linh Dinh","doi":"10.14485/hbpr.10.4.3","DOIUrl":"https://doi.org/10.14485/hbpr.10.4.3","url":null,"abstract":"Objective: In this paper, we evaluate the effectiveness of the proposed strategies for increasing participation rates of freelance laborers in voluntary social insurance (VSI) programs in Thai Nguyen, Vietnam. Methods: We surveyed a sample of 400 persons and analyzed the data using SPSS 20 software. Both exploratory factor analysis and multiple regression analysis were employed to analyze the level and nature of the relationships among the variables. Results: The intention of laborers to participate in VSI in the rural regions of Thai Nguyen province was influenced by 5 factors – information, trust, attitude, risk perceptions, and knowledge. Nonetheless, the extent of impact varied across the distinct factors. Conclusions: To enhance participation rates in social insurance, it is imperative for policymakers and other relevant stakeholders to engage in information dissemination through a diverse array of channels, such as clubs, individuals, and local organizations. This strategy will serve to ensure that individuals possess a heightened comprehension of the tangible advantages associated with participation in social insurance programs.","PeriodicalId":44486,"journal":{"name":"Health Behavior and Policy Review","volume":"9 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135005413","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}
Christopher Carpenter, Michelle Marcus, Mary-Margaret Chren, Brandyn Churchill
{"title":"State SUNucate Laws, the Popularity of Google Searches for Terms Related to Sun Protection, and Youth Sunscreen Use","authors":"Christopher Carpenter, Michelle Marcus, Mary-Margaret Chren, Brandyn Churchill","doi":"10.14485/hbpr.10.4.1","DOIUrl":"https://doi.org/10.14485/hbpr.10.4.1","url":null,"abstract":"Objective: Our objective was to determine whether state SUNucate laws – which have been adopted by 27 states and require schools to permit youths to carry and apply sunscreen on school grounds – were associated with changes in Google Search behavior for words and phrases related to sun protection as well as self-reported sunscreen use by youths. Methods: This was an observational study examining: (1) Google Trends search popularity for terms such as \"sunscreen\" and \"SPF\" by state, month, and year for 2004-2022; and (2) self-reported sunscreen use by high school youth in the national Youth Risk Behavior Survey during 2009-2019. Results: State SUNucate laws were associated with increased Google search popularity of terms related to sun protection. Google search popularity for ‘sunscreen’ increased by 27.2% (95% CI 12.67% to 41.7%; p < .001). State SUNucate laws were also associated with increased sunscreen use among high school youths by 8.3% (95% CI 0.014% to 15.0%; p < .05). Conclusion: State SUNucate laws may be effective tools for increasing population search behavior for sun protection terms and youth sunscreen use.","PeriodicalId":44486,"journal":{"name":"Health Behavior and Policy Review","volume":"49 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135005412","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}
Justin McDaniel, Michelle McDaniel, Ryan Redner, Eric Jacobs, Ian Crunk
{"title":"Using Behavioral Economics to Predict Sensitivity to Moral Injury in Military Recruits: Validation of the Moral Injury Purchase Task","authors":"Justin McDaniel, Michelle McDaniel, Ryan Redner, Eric Jacobs, Ian Crunk","doi":"10.14485/hbpr.10.4.4","DOIUrl":"https://doi.org/10.14485/hbpr.10.4.4","url":null,"abstract":"Objective: The purpose of this study was to validate the Moral Injury Purchase Task, a novel behavioral economic tool, and to understand military recruits’ sensitivity to morally injurious events. Methods: Participants (N = 26) read a scenario that could prompt hypothetical feelings of moral injury and then reported the number of years they would purchase services – at varying price points – to help forget their experiences in war. Participants also completed the Moral Injury Events Scale (MIES). We calculated various demand indices and developed demand curves for military recruits and service/members veterans using Koffarnus et al’s equation. Results: Results showed that the demand curves for the 2 populations were not significantly different (F1, 438 = 5.30, p = .07) and the coefficient of determination was satisfactory when modeled on the entire sample (R2 = .90). MIES scores were positively associated with participants’ Pmax values (p = .03), providing preliminary evidence of convergent validity. Conclusions: This study provides initial evidence of the utility of using behavioral economics to assist in identifying recruits’ susceptibility to moral injury and thereby better target preventive services.","PeriodicalId":44486,"journal":{"name":"Health Behavior and Policy Review","volume":"12 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135053541","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}
Joshua Wilke, Cahit Kaya, Wajiha Akhtar, William Bull, Sarah Krechel, Randall Brown, Ryan Westergaard, David Seal
{"title":"Provider Perceptions of Attitudes toward People who Inject Drugs and Treatment Services among Community Members, Service Providers, and Law Enforcement Officials","authors":"Joshua Wilke, Cahit Kaya, Wajiha Akhtar, William Bull, Sarah Krechel, Randall Brown, Ryan Westergaard, David Seal","doi":"10.14485/hbpr.10.4.2","DOIUrl":"https://doi.org/10.14485/hbpr.10.4.2","url":null,"abstract":"Objective: People who inject drugs (PWIDs) often face stigma, leading to barriers in accessing healthcare and may contribute to negative health outcomes. The objective of this study was to understand and describe the manifestations of stigma toward PWIDs and their impact on the utilization of essential prevention services. Methods: We interviewed 44 persons knowledgeable about PWIDs’ healthcare needs. Interviews explored perceptions of the community, healthcare service providers, law enforcement attitudes toward PWIDs, and treatment services. Results: Respondents believed that the community generally has stigmatizing attitudes towards PWIDs; treatment program personnel and healthcare providers have less stigmatized attitudes but could benefit from more education and training on drug use and addiction. Conclusions: Education and training on stigma and its negative impact on the lives of PWIDs for K-12 students and for healthcare professionals (eg, treatment options, harm reduction strategies) might mitigate stigma toward PWIDs and improve access to services and outcomes.","PeriodicalId":44486,"journal":{"name":"Health Behavior and Policy Review","volume":"18 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135005414","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":"Addressing Community Health Worker Wellness and Self-care: A Formative Evaluation","authors":"Chelsey Kirkland, J. Hallam","doi":"10.14485/hbpr.10.3.2","DOIUrl":"https://doi.org/10.14485/hbpr.10.3.2","url":null,"abstract":"Objective: Community health workers (CHWs) experience higher than average risks for chronic diseases and poor health and are disproportionately affected by the COVID-19 pandemic due to being from historically marginalized populations. Despite limited literature, these factors indicate a need for CHW-specific support programming for wellness and self-care. Therefore, we conducted formative evaluation using virtual focus groups (N = 5) using descriptive and interpretive qualitative research methods to inform a program called “HANS KAI.” Methods: The focus groups included CHWs (N = 35) and CHW supervisors (N = 5) to explore CHW-support programming needs and understand their perceptions of HANS KAI. Two moderators followed a semi-structured focus group guide with questions and prompts focused on 5 primary domains: (1) Intervention Initiation, (2) Impact of Agency Culture, (3) HANS KAI Meeting Details, (4) HANS KAI Meeting Topics, and (5) Intervention Incentives. Audio-transcribed data were aggregated and analyzed for each domain with inductive codes involving iterative cycles of descriptive and in vivo coding. Salient themes and sub-themes were developed based on the domains. Results: We developed 8 salient themes within the domains. Conclusion: Our findings reveal that CHW HANS KAI components reflect CHWs’ needs, may benefit CHWs, and provide insights into CHW-specific programming.","PeriodicalId":44486,"journal":{"name":"Health Behavior and Policy Review","volume":" 10","pages":""},"PeriodicalIF":0.8,"publicationDate":"2023-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41253638","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}
Alyssa Mayer, T. McCune, J. McDaniel, Diana Gill, R. McDermott
{"title":"Active Duty to Veteran: Challenges Faced by Service Men and Women Reintegrating to Civilian Life in the South Carolina Lowcountry","authors":"Alyssa Mayer, T. McCune, J. McDaniel, Diana Gill, R. McDermott","doi":"10.14485/hbpr.10.3.5","DOIUrl":"https://doi.org/10.14485/hbpr.10.3.5","url":null,"abstract":"Objective: One in 4 active-duty US military personnel report needing support for mental health issues. This proportion increases to 41% of all US military veterans, suggesting mental health status may worsen by the transition from active duty to civilian life. In this study, we explore the lived experiences of veterans in the South Carolina Lowcountry as they transition from active service to civilian life, with an emphasis on identifying services and support for this population. Methods: We used a qualitative design employing a grounded theory approach. We conducted semi-structured interviews with 20 veterans in the first year of reintegration to civilian life that examined the following areas: (1) social isolation; (2) physical isolation; and (3) self-reported levels of mental distress. Results: Thematic saturation was reached with the following emerging themes: (1) perceived mental distress due to social and physical isolation, (2) difficulty transitioning from the military “family” to one’s actual family, (3) confusion regarding identity and place in society, and an expressed (4) need for services to support this critical period in a veteran’s life. Conclusions: Our interview data provide insight about the experiences of military veterans as they return to civilian life and offer evidence for the need for better integration into the social and physical fabric of the population using both existing and enhanced community-based support programs","PeriodicalId":44486,"journal":{"name":"Health Behavior and Policy Review","volume":" ","pages":""},"PeriodicalIF":0.8,"publicationDate":"2023-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47071084","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}
Amkita Agarwal, Emily Burwell, W. Romine, Tanvi Banerjee
{"title":"Dynamic Topic Modeling to Mine Themes and Evolution during the Initial COVID-19 Vaccine Rollout","authors":"Amkita Agarwal, Emily Burwell, W. Romine, Tanvi Banerjee","doi":"10.14485/hbpr.10.3.1","DOIUrl":"https://doi.org/10.14485/hbpr.10.3.1","url":null,"abstract":"Objective: In this paper, we identify the topics in the form of themes being discussed on Twitter about the COVID-19 vaccine during the period of initial rollout of the vaccines and their evolution every month with the scientific advancement and major events on the COVID-19 vaccine timeline. Methods: We collected tweets from Twitter API over a period of 3 months from December 1, 2020 to February 28, 2021 using the keyword, \"COVID-19 vaccine: and implemented dynamic topic modeling to identify topics in the form of themes being discussed. We then visualized the evolution of these themes every month with the news events during that time. Results: We found that 8 themes were discussed on Twitter during the initial rollout of COVID-19 vaccines. Within each theme, there were some unique key words found in a particular month or new key words that emerged from the previous month. These themes evolved with the trending news during that time period. Conclusions: Public discussions and health behavior of people about COVID-19 vaccines across different themes evolved over time. There was a dynamic and temporal shift in the perception of people regarding these vaccines coinciding with the scientific advancement and news events around the development, distribution, and administration of these vaccines.","PeriodicalId":44486,"journal":{"name":"Health Behavior and Policy Review","volume":"31 1","pages":""},"PeriodicalIF":0.8,"publicationDate":"2023-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"66727715","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}
Nicola Manalili, Jackson Schenone, Mariel Linskey, Alijah Brooks, Lauren Brucker, A. Lent
{"title":"Smokers with Access to Care are More Likely to Attempt Quitting Smoking","authors":"Nicola Manalili, Jackson Schenone, Mariel Linskey, Alijah Brooks, Lauren Brucker, A. Lent","doi":"10.14485/hbpr.10.3.3","DOIUrl":"https://doi.org/10.14485/hbpr.10.3.3","url":null,"abstract":"Objective: The Affordable Care Act (ACA) increased healthcare access and smoking cessation services. We examined the association between access to care and quit attempts after the ACA. Methods: We analyzed 2015-2018 Behavioral Risk Factor Surveillance System data (N = 209,213). Using logistic regression, independent variables included having a personal healthcare provider and time since last healthcare provider visit. The dependent variable included smoking cessation attempt in the past 12 months (yes or no). Interactions were examined for demographic variables. Results: Smokers with one (OR = 1.27, 95% CI=1.21, 1.33) or more (OR = 1.28, 95% CI=1.28, 1.48) providers were more likely to have a quit attempt versus no provider. Smokers with a recent check-up were more likely to have a quit attempt versus those who never had/had a check-up greater than 5 years ago (OR2-5 years = 1.19, 95% CI = 1.10, 1.29, OR1-2 years = 1.34, 95% CI = 1.25, 1.44, OR1 year = 1.50, 95% CI = 1.42, 1.58). Age and education modified these associations. Conclusions: Instead of disincentive measures, policies should promote healthcare system interactions to support cessation.","PeriodicalId":44486,"journal":{"name":"Health Behavior and Policy Review","volume":" ","pages":""},"PeriodicalIF":0.8,"publicationDate":"2023-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42988444","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":"Perceiving E-cigarettes as Less Harmful than Cigarettes is Associated with JUUL and Vuse Solo Use Intentions among Young Adult Dual-users","authors":"Kathryn La Capria, Chen Julia","doi":"10.14485/hbpr.10.3.4","DOIUrl":"https://doi.org/10.14485/hbpr.10.3.4","url":null,"abstract":"Objective: In this study, we aimed to examine associations of relative harm perceptions of e-cigarettes versus cigarettes and using or switching to commonly used or FDA-authorized e-cigarettes among young adult dual-users. Methods: We conducted a cross-sectional online survey in 2022 among young adult (ages 18-34) dual-users of cigarettes and e-cigarettes (N = 1821). We used multivariable logistic regressions to examine the associations between the explanatory variable and each response variable, controlling for covariates and stratified by current JUUL or Vuse Solo use. Results: Less than half (40.6%) of the participants perceived e-cigarettes as less harmful than cigarettes. Perceiving e-cigarettes as less harmful was associated with intentions of using and completely switching to JUUL and Vuse Solo. For stratified analysis, perceiving e-cigarettes as less harmful was associated with using and completely switching to JUUL among current and noncurrent JUUL users; it was associated with having intentions of using and completely switching to Vuse Solo among non-current Vuse Solo users. Conclusions: Perceiving e-cigarettes as less harmful than cigarettes was associated with having intentions of using and completely switching to JUUL and Vuse Solo products. Increasing the accurate relative harm perception is important to promote complete product switching to e-cigarettes among young adult smokers.","PeriodicalId":44486,"journal":{"name":"Health Behavior and Policy Review","volume":" ","pages":""},"PeriodicalIF":0.8,"publicationDate":"2023-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47211808","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}