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Article ; Online: Correlation of Oral Health Education by Community Health Workers with Changes in Oral Health Practices in Migrant Populations in Washington State.

Ponce-Gonzalez, Ileana Maria / Cheadle, Allen D / Parchman, Michael Leo

Journal of primary care & community health

2021 Volume 12, Page(s) 21501327211002417

Abstract: Introduction: An important question for oral health education is whether knowledge gained during lay-led workshops is retained and applied in daily practice. This study assessed the knowledge retention and changes in oral health practices several months ...

Abstract	Introduction: An important question for oral health education is whether knowledge gained during lay-led workshops is retained and applied in daily practice. This study assessed the knowledge retention and changes in oral health practices several months after oral health education workshops were held for migrant farmworkers by Community Health Workers (CHWs). Methods and results: Follow-up surveys were conducted with 32 participants 1 to 43 months post participation (60% between 6 and 21 months). The results showed a high degree of retention, in such areas as general oral health knowledge, and brushing/flossing frequency and technique among this sample. There was no relationship between length of time since the educational workshop and knowledge retained or behaviors changed. Conclusions and recommendations: An interactive, lay-led oral health education program run by CHWs can be an effective way to deliver sustained improvements in oral health knowledge and changes in oral health practice in migrant populations.
MeSH term(s)	Community Health Workers ; Health Education ; Health Knowledge, Attitudes, Practice ; Humans ; Oral Health ; Transients and Migrants ; Washington
Language	English
Publishing date	2021-03-15
Publishing country	United States
Document type	Journal Article ; Research Support, Non-U.S. Gov't
ZDB-ID	2550221-9
ISSN	2150-1327 ; 2150-1319
ISSN (online)	2150-1327
ISSN	2150-1319
DOI	10.1177/21501327211002417
Database	MEDical Literature Analysis and Retrieval System OnLINE

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Article ; Online: Counting the Unsung by Promoting Participation in the 2020 US Census: A Survey of Migrant Workers in Washington State.

Ponce-Gonzalez, Ileana / Rodriguez, Carlos Mejia / Cheadle, Allen / Torrance, Stacy / Parchman, Michael

Journal of health care for the poor and underserved

2021 Volume 32, Issue 1, Page(s) 156–164

Abstract: Introduction: Participation in the United States Census is critical for determining congressional representation and federal funding, but in every census there are groups systematically undercounted due to socioeconomic and demographic factors. Migrants ...

Abstract	Introduction: Participation in the United States Census is critical for determining congressional representation and federal funding, but in every census there are groups systematically undercounted due to socioeconomic and demographic factors. Migrants and refugees are a group particularly threatened by being undercounted, including Hispanic migrant workers living in more rural areas. Methods and results: To gather information to promote migrant participation in the census, the Community Health Worker Coalition for Migrants and Refugees in Washington state conducted a systematic survey of 71 migrant workers in seven urban and suburban Washington communities. The results showed that while most participants had heard of the census, basic knowledge about the census was limited and people wanted more information. Conclusions and recommendations: A strong, coordinated outreach approach should be carried out to educate people in migrant communities about the census. This may involve one-on-one structured conversations, radio telenovelas, and community conversations organized by the trusted leaders.
MeSH term(s)	Censuses ; Community Health Workers ; Humans ; Surveys and Questionnaires ; Transients and Migrants ; Washington
Language	English
Publishing date	2021-03-04
Publishing country	United States
Document type	Journal Article ; Research Support, Non-U.S. Gov't
ZDB-ID	1142637-8
ISSN	1548-6869 ; 1049-2089
ISSN (online)	1548-6869
ISSN	1049-2089
DOI	10.1353/hpu.2021.0015
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Article ; Online: Improving oral health in migrant and underserved populations: evaluation of an interactive, community-based oral health education program in Washington state.

Ponce-Gonzalez, Ileana / Cheadle, Allen / Aisenberg, Gino / Cantrell, Laura Flores

BMC oral health

2019 Volume 19, Issue 1, Page(s) 30

Abstract: Objectives: Oral health is one of the greatest unmet health needs of migrant farmworkers and many migrant workers lack basic oral health knowledge. This paper presents evaluation results for an oral health education program designed to both increase ... ...

Abstract	Objectives: Oral health is one of the greatest unmet health needs of migrant farmworkers and many migrant workers lack basic oral health knowledge. This paper presents evaluation results for an oral health education program designed to both increase knowledge concerning oral health practices and to gain a better understanding of the knowledge, attitudes and behaviors regarding oral health among migrant workers. Methods: We used a pre-post uncontrolled design to assess the impact of the education program on participant knowledge about oral health practices. Changes in knowledge were assessed using a paper and pencil survey given to participants before the session began (pre) and at the end of the session (post). The pre-post survey was supplemented by qualitative information in the form of participant self-reported barriers and facilitators, and figure drawings illustrating their feelings about the state of their own oral health. Results: There were 311 participants in 12 workshops held in 2017 throughout Washington State. There were statistically significant increases in knowledge for all of the pre/post survey questions. Questions with particularly large improvements included: the results of having a mouth infection, factors causing oral health problems, and whether children in low-income families experience more tooth decay. Conclusions: An interactive, lay-led oral health education program can be an effective way to increase oral health knowledge in migrant populations. Recommendations for similar programs include using interactive approaches to engage participants, being open to learning and changing your own thinking, and using lay leaders for the education sessions.
MeSH term(s)	Child ; Dental Caries ; Health Education, Dental ; Humans ; Oral Health ; Transients and Migrants ; Washington
Language	English
Publishing date	2019-02-13
Publishing country	England
Document type	Journal Article ; Research Support, Non-U.S. Gov't
ZDB-ID	2091511-1
ISSN	1472-6831 ; 1472-6831
ISSN (online)	1472-6831
ISSN	1472-6831
DOI	10.1186/s12903-019-0723-7
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Article ; Online: The Effect of Season on Physical Activity Among Older Adults in King County, Washington.

Cheadle, Allen

Journal of physical activity & health

2006 Volume 3, Issue 3, Page(s) 304–313

Abstract: Background: Effective promotion of physical activity among older adults, and the evaluation of those efforts, requires a better understanding of the impact of seasonal patterns on physical activity.: Methods: This article used data from the ... ...

Abstract	Background: Effective promotion of physical activity among older adults, and the evaluation of those efforts, requires a better understanding of the impact of seasonal patterns on physical activity. Methods: This article used data from the Behavioral Risk Factor Surveillance Survey, a population-based telephone survey, to examine the association between levels of physical activity among older adults and season of the year, temperature, and rainfall. Results: A statistically significant seasonal pattern was identified for general physical activity; for example, recommended physical activity was 62% higher in relative terms in June than in December (63% active versus 39%). However, no significant association was found between season and walking, and rainfall and temperature did not appear to influence the level of activity over and above the effect of season. Conclusions: Evaluations of walking programs for seniors may not need to make adjustments for seasonality when measuring impact using pre/post surveys.
Language	English
Publishing date	2006-07
Publishing country	United States
Document type	Journal Article
ISSN	1543-5474
ISSN (online)	1543-5474
DOI	10.1123/jpah.3.3.304
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Article ; Online: Using the County Health Rankings Framework to Create National Percentile Scores for Health Outcomes and Health Factors.

Stiefel, Matthew C / Straszewski, Tasha / Taylor, Jennifer C / Huang, Christina / An, Jessica / Wilson-Anumudu, Folasade J / Cheadle, Allen

The Permanente journal

2021 Volume 25, Page(s) 1

Abstract: Introduction: As a means of conceptualizing population health, the County Health Rankings & Roadmaps program developed a methodology to rank counties within each state on Health Outcomes and Health Factors. We built on this framework by introducing an ... ...

Abstract	Introduction: As a means of conceptualizing population health, the County Health Rankings & Roadmaps program developed a methodology to rank counties within each state on Health Outcomes and Health Factors. We built on this framework by introducing an additional application that utilized national percentile scores and population size weighting to compare counties on a national, rather than a state, level. Methods: We created national percentile scores for 3078 US counties and used population size weighting in our calculations so that values for counties with larger populations would be weighted more heavily than values for counties with smaller populations. Results: We demonstrated how this application can be used to 1) compare counties nationally, 2) examine clustering and variability among counties, and 3) compare the health of states and regions. To underscore its utility, we included an example application by Kaiser Permanente. As a form of method validation, the results of this application are in line with other ranking systems (eg, US News and World Report and United Health Foundation; ρ = 0.39 to 0.91, p < 0.001). Discussion: This application can be used by communities and organizations that may be interested in comparing the health of counties, service areas, and regions in which they operate. We included additional considerations and highlighted some limitations for those interested in utilizing this application. Conclusion: By comparing counties nationally and utilizing population size weighting, community partners can focus on areas that may be of greatest need in moving toward a national Culture of Health.
MeSH term(s)	Humans ; Outcome Assessment, Health Care ; United States
Language	English
Publishing date	2021-02-26
Publishing country	United States
Document type	Journal Article ; Research Support, Non-U.S. Gov't
ZDB-ID	2062823-7
ISSN	1552-5775 ; 1552-5775
ISSN (online)	1552-5775
ISSN	1552-5775
DOI	10.7812/TPP/20.012
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Article ; Online: A Multicomponent Health Education Campaign Led by Community Health Workers to Increase Influenza Vaccination among Migrants and Refugees.

Ponce-Gonzalez, Ileana Maria / Perez, Kathleen / Cheadle, Allen D / Jade, Morgan / Iverson, Barry / Parchman, Michael Leo

Journal of primary care & community health

2021 Volume 12, Page(s) 21501327211055627

Abstract: Objectives: To evaluate the impact of a Community Health Worker (CHW)-led influenza campaign on knowledge and attitudes about vaccination in Latinx migrant and refugee populations.: Methods: Twelve online workshops were conducted with 183 ... ...

Abstract	Objectives: To evaluate the impact of a Community Health Worker (CHW)-led influenza campaign on knowledge and attitudes about vaccination in Latinx migrant and refugee populations. Methods: Twelve online workshops were conducted with 183 participants and 24 CHWs between January 12 and May 12, 2021. Participants were Latinx families living in underserved communities throughout Washington state. The initiative also included radio, animated videos, advertisements, social media, and educational materials. Results: Analysis of pre and post workshop surveys from 155 participants showed statistically significant improvements in all questions about the definition of influenza, symptoms, and risks: and in 7 of 9 questions about treatments and vaccines. Analysis of 2 open-ended questions showed increases in words key to understanding influenza, such as "virus," "illness," "death," and "contagious." There were significant increases in rates of participants identifying vaccination and antibiotics as cures for influenza. Conclusions: CHW-led workshops can be an effective way to increase knowledge about influenza and influenza vaccine. Future curriculum should emphasize the difference between viruses and bacteria, and the use of vaccination for prevention as opposed to treatment for illness.
MeSH term(s)	Community Health Workers ; Health Knowledge, Attitudes, Practice ; Health Promotion ; Humans ; Influenza, Human/prevention & control ; Refugees ; Surveys and Questionnaires ; Transients and Migrants ; Vaccination
Language	English
Publishing date	2021-11-23
Publishing country	United States
Document type	Journal Article ; Research Support, Non-U.S. Gov't
ZDB-ID	2550221-9
ISSN	2150-1327 ; 2150-1319
ISSN (online)	2150-1327
ISSN	2150-1319
DOI	10.1177/21501327211055627
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Article ; Online: The Kaiser Permanente Community Health Initiative: A Decade of Implementing and Evaluating Community Change.

Schwartz, Pamela M / Kelly, Cheryl / Cheadle, Allen / Pulver, Amy / Solomon, Loel

American journal of preventive medicine

2018 Volume 54, Issue 5 Suppl 2, Page(s) S105–S109

MeSH term(s)	Community Health Planning ; Health Maintenance Organizations ; Health Promotion/organization & administration ; Humans ; Public Health
Language	English
Publishing date	2018-03-28
Publishing country	Netherlands
Document type	Editorial ; Research Support, Non-U.S. Gov't
ZDB-ID	632646-8
ISSN	1873-2607 ; 0749-3797
ISSN (online)	1873-2607
ISSN	0749-3797
DOI	10.1016/j.amepre.2018.02.004
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Article ; Online: Dose as a Tool for Planning and Implementing Community-Based Health Strategies.

Kuo, Elena S / Harner, Lisa T / Frost, Madeline C / Cheadle, Allen / Schwartz, Pamela M

American journal of preventive medicine

2018 Volume 54, Issue 5 Suppl 2, Page(s) S110–S116

Abstract: A major challenge in community-based health promotion is implementing strategies that could realistically improve health at the population level. Population dose methodology was developed to help understand the combined impact of multiple strategies on ... ...

Abstract	A major challenge in community-based health promotion is implementing strategies that could realistically improve health at the population level. Population dose methodology was developed to help understand the combined impact of multiple strategies on population-level health behaviors. This paper describes one potential use of dose: as a tool for working collaboratively with communities to increase impact when planning and implementing community-level initiatives. Findings are presented from interviews conducted with 11 coordinators who used dose for planning and implementing local efforts with community coalitions. During early-stage planning, dose was used as a tool for strategic planning, and as a framework to build consensus among coalition partners. During implementation, a dose lens was used to revise strategies to increase their reach (the number of people exposed to the intervention) or strength (the relative change in behavior for each exposed person) to create population-level impact. A case study is presented, illustrating how some community coalitions and evaluators currently integrate dose into the planning and implementation of place-based healthy eating and active living strategies. Finally, a planning checklist was developed for program coordinators and evaluators. Supplement information: This article is part of a supplement entitled Building Thriving Communities Through Comprehensive Community Health Initiatives, which is sponsored by Kaiser Permanente, Community Health.
MeSH term(s)	Colorado ; Community Health Planning/organization & administration ; Health Maintenance Organizations ; Health Promotion ; Humans ; Organizational Case Studies ; Public Health
Language	English
Publishing date	2018-03-28
Publishing country	Netherlands
Document type	Journal Article ; Research Support, Non-U.S. Gov't
ZDB-ID	632646-8
ISSN	1873-2607 ; 0749-3797
ISSN (online)	1873-2607
ISSN	0749-3797
DOI	10.1016/j.amepre.2018.01.010
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Article ; Online: US trends in receipt of appropriate diabetes clinical and self-care from 2001 to 2010 and racial/ethnic disparities in care.

Chen, Roxana / Cheadle, Allen / Johnson, Donna / Duran, Bonnie

The Diabetes educator

2014 Volume 40, Issue 6, Page(s) 756–766

Abstract: Purpose: The purpose of this study was to examine trends in the receipt of 8 recommended diabetes clinical and self-care indicators from 2001 to 2010 and assess racial/ethnic disparities in care.: Methods: This observational study examined receipt of ...

Abstract	Purpose: The purpose of this study was to examine trends in the receipt of 8 recommended diabetes clinical and self-care indicators from 2001 to 2010 and assess racial/ethnic disparities in care. Methods: This observational study examined receipt of A1C tests, annual eye and foot exams, flu vaccination, diabetes self-management education (DSME), exercise, self-monitoring of blood glucose (SMBG), and self feet examinations among US adults with diabetes using national survey data from 2001 to 2010. Analyses included estimating proportions for each indicator by year, testing differences in magnitude of change from 2001 to 2010 by race/ethnicity, and regression models to assess changes in care over time and factors associated with care. Results: There were significant increases from 2001 to 2010 in A1C tests, annual foot exams, flu shots, DSME, and SMBG but declines in eye and self feet exams. DSME was positively associated with receipt of several care indicators. However, only half of respondents received DSME. White and black non-Hispanics, respectively, experienced improvements in at least 3 indicators. Hispanics experienced a significant increase in exercise but were consistently less likely than whites to receive or engage in most care. Conclusions: While improvements in several indicators were observed, patterns varied by race/ethnicity, with Hispanics falling short on most measures. DSME was strongly associated with most care and demonstrates the potential to improve receipt of recommended care by increasing DSME participation. With the Affordable Care Act (ACA), health professionals have a prime opportunity to leverage ACA provisions to increase access to recommended services, including DSME.
MeSH term(s)	Attitude of Health Personnel ; Behavioral Risk Factor Surveillance System ; Cross-Sectional Studies ; Diabetes Mellitus, Type 1/blood ; Diabetes Mellitus, Type 1/epidemiology ; Diabetes Mellitus, Type 1/therapy ; Diabetes Mellitus, Type 2/blood ; Diabetes Mellitus, Type 2/epidemiology ; Diabetes Mellitus, Type 2/therapy ; Ethnic Groups ; Female ; Glycated Hemoglobin A/analysis ; Health Education ; Health Knowledge, Attitudes, Practice ; Health Services Accessibility/statistics & numerical data ; Healthcare Disparities/statistics & numerical data ; Hispanic Americans/statistics & numerical data ; Humans ; Male ; Middle Aged ; Patient Education as Topic ; Quality of Health Care ; Self Care/statistics & numerical data ; United States/epidemiology
Chemical Substances	Glycated Hemoglobin A ; hemoglobin A1c protein, human
Language	English
Publishing date	2014-11
Publishing country	United States
Document type	Journal Article ; Observational Study ; Research Support, N.I.H., Extramural ; Research Support, U.S. Gov't, P.H.S.
ZDB-ID	603168-7
ISSN	1554-6063 ; 0145-7217
ISSN (online)	1554-6063
ISSN	0145-7217
DOI	10.1177/0145721714546721
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Article ; Online: Engaging patients in primary care design: An evaluation of a novel approach to codesigning care.

Hertel, Erin / Cheadle, Allen / Matthys, Juno / Coleman, Katie / Gray, Marlaine / Robbins, Michele / Tufte, Janice / Hsu, Clarissa

Health expectations : an international journal of public participation in health care and health policy

2019 Volume 22, Issue 4, Page(s) 609–616

Abstract: Objective: Recognition is growing that to create truly patient-centred care, health-care organizations need to partner with patients around care design. More research into the benefits of engaging patients and the most effective ways of partnering with ... ...

Abstract	Objective: Recognition is growing that to create truly patient-centred care, health-care organizations need to partner with patients around care design. More research into the benefits of engaging patients and the most effective ways of partnering with them is needed. Methods: This study assessed the process and impact of a collaborative effort to design a new clinic service that balanced the number of patient and clinical provider/staff codesigners involved and recruited patients to represent diverse perspectives. Data sources included interviews with participants, event observation and participant surveys. Results: Our evaluation found that including patients as equal partners improved the design process by infusing a real-world, patient perspective. The pre-event orientation and interactive methods used in the event fostered positive collaboration, as well as personal growth for the patient codesigners. Conclusion: This study demonstrated the feasibility and benefits of including a roughly equal number of patients and clinical providers/staff in design events and ensuring that the patients represent diverse perspectives.
MeSH term(s)	Aged ; Aged, 80 and over ; Cooperative Behavior ; Female ; Group Processes ; Humans ; Male ; Middle Aged ; Patient Participation/methods ; Patient-Centered Care/organization & administration ; Personnel Selection ; Primary Health Care/organization & administration
Language	English
Publishing date	2019-05-27
Publishing country	England
Document type	Journal Article ; Research Support, Non-U.S. Gov't
ZDB-ID	2119434-8
ISSN	1369-7625 ; 1369-6513
ISSN (online)	1369-7625
ISSN	1369-6513
DOI	10.1111/hex.12909
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