المؤلفون: Vanengelsdorp, Tdennis, Tarpy, David R., Baylis, Kathy, Spivak, Marla, Caron, Dewey M., Connell, Joseph, Delaplane, Keith S., Donohue, Susan, Esaias, Wayne, Gross, Brian, Hayes, Jerry, Lengerich, Eugene J., Pettis, Jeffery, Rennich, Karen, Underwood, Robyn, Rose, Robyn, Skinner, John, Wilkes, James

المصدر: American Entomologist ; volume 58, issue 2, page 116-118 ; ISSN 2155-9902 1046-2821

مصطلحات موضوعية: Insect Science, Ecology, Evolution, Behavior and Systematics

الإتاحة: https://doi.org/10.1093/ae/58.2.116Test
http://academic.oup.com/ae/article-pdf/58/2/116/18755983/ae58-0116.pdfTest

المؤلفون: Graybill Marie A, Kluhsman Brenda C, Lengerich Eugene J, Curry William J, Liao Jason Z, Schaefer Eric W, Spleen Angela M, Dignan Mark B

المصدر: BMC Health Services Research, Vol 11, Iss 1, p 112 (2011)

مصطلحات موضوعية: Public aspects of medicine, RA1-1270

الوصف: Background In the United States, colorectal cancer (CRC) is the third most frequently diagnosed cancer and second leading cause of cancer death. Screening is a primary method to prevent CRC, yet screening remains low in the U.S. and particularly in Appalachian Pennsylvania, a largely rural area with high rates of poverty, limited health care access, and increased CRC incidence and mortality rates. Receiving a physician recommendation for CRC screening is a primary predictor for patient adherence with screening guidelines. One strategy to disseminate practice-oriented interventions is academic detailing (AD), a method that transfers knowledge or methods to physicians, nurses or office staff through the visit(s) of a trained educator. The objective of this study was to determine acceptability and feasibility of AD among primary care practices in rural Appalachian Pennsylvania to increase CRC screening. Methods A multi-site, practice-based, intervention study with pre- and 6-month post-intervention review of randomly selected medical records, pre- and post-intervention surveys, as well as a post-intervention key informant interview was conducted. The primary outcome was the proportion of patients current with CRC screening recommendations and having received a CRC screening within the past year. Four practices received three separate AD visits to review four different learning modules. Results We reviewed 323 records pre-intervention and 301 post-intervention. The prevalence of being current with screening recommendation was 56% in the pre-intervention, and 60% in the post-intervention (p = 0. 29), while the prevalence of having been screened in the past year increased from 17% to 35% (p < 0.001). Colonoscopies were the most frequently performed screening test. Provider knowledge was improved and AD was reported to be an acceptable intervention for CRC performance improvement by the practices. Conclusions AD appears to be acceptable and feasible for primary care providers in rural Appalachia. A ceiling ...

العلاقة: http://www.biomedcentral.com/1472-6963/11/112Test; https://doaj.org/toc/1472-6963Test; https://doaj.org/article/bef01f4d63f94637841c0c75068b703eTest

الإتاحة: https://doi.org/10.1186/1472-6963-11-112Test
https://doaj.org/article/bef01f4d63f94637841c0c75068b703eTest

المؤلفون: Curry, William J, Lengerich, Eugene J, Kluhsman, Brenda C, Graybill, Marie A, Liao, Jason Z, Schaefer, Eric W, Spleen, Angela M, Dignan, Mark B

الوصف: Background In the United States, colorectal cancer (CRC) is the third most frequently diagnosed cancer and second leading cause of cancer death. Screening is a primary method to prevent CRC, yet screening remains low in the U.S. and particularly in Appalachian Pennsylvania, a largely rural area with high rates of poverty, limited health care access, and increased CRC incidence and mortality rates. Receiving a physician recommendation for CRC screening is a primary predictor for patient adherence with screening guidelines. One strategy to disseminate practice-oriented interventions is academic detailing (AD), a method that transfers knowledge or methods to physicians, nurses or office staff through the visit(s) of a trained educator. The objective of this study was to determine acceptability and feasibility of AD among primary care practices in rural Appalachian Pennsylvania to increase CRC screening. Methods A multi-site, practice-based, intervention study with pre- and 6-month post-intervention review of randomly selected medical records, pre- and post-intervention surveys, as well as a post-intervention key informant interview was conducted. The primary outcome was the proportion of patients current with CRC screening recommendations and having received a CRC screening within the past year. Four practices received three separate AD visits to review four different learning modules. Results We reviewed 323 records pre-intervention and 301 post-intervention. The prevalence of being current with screening recommendation was 56% in the pre-intervention, and 60% in the post-intervention (p = 0. 29), while the prevalence of having been screened in the past year increased from 17% to 35% (p < 0.001). Colonoscopies were the most frequently performed screening test. Provider knowledge was improved and AD was reported to be an acceptable intervention for CRC performance improvement by the practices. Conclusions AD appears to be acceptable and feasible for primary care providers in rural Appalachia. A ceiling ...

العلاقة: http://www.biomedcentral.com/1472-6963/11/112Test

الإتاحة: http://www.biomedcentral.com/1472-6963/11/112Test

المؤلفون: Wenrich, Tionni R., Brown, J. Lynne, Miller-Day, Michelle, Kelley, Kevin J., Lengerich, Eugene J.

المصدر: Communication Faculty Articles and Research

مصطلحات موضوعية: Family Meals, Vegetables, Exchange Theory, Food Preparer Role, Dietetics and Clinical Nutrition, Family, Life Course, and Society, Food Science, Inequality and Stratification, Medicine and Health, Place and Environment, Public Health Education and Promotion, Rural Sociology

الوصف: Objective—Characterize the process of family vegetable selection (especially cruciferous, deep orange, and dark green leafy vegetables); demonstrate the usefulness of Exchange Theory (how family norms and past experiences interact with rewards and costs) for interpreting the data. Design—Eight focus groups, two with each segment (men/women vegetable-likers/dislikers based on a screening form). Participants completed a vegetable intake form. Setting—Rural Appalachian Pennsylvania. Participants—61 low-income, married/cohabiting men (n=28) and women (n=33). Analysis—Thematic analysis within Exchange Theory framework for qualitative data. Descriptive analysis, t-tests and chi-square tests for quantitative data. Results—Exchange Theory proved useful for understanding that regardless of sex or vegetable liker/ disliker status, meal preparers see more costs than rewards to serving vegetables. Past experience plus expectations of food preparer role and of deference to family member preferences supported a family norm of serving only vegetables acceptable to everyone. Emphasized vegetables are largely ignored due to unfamiliarity; family norms prevented experimentation and learning through exposure. Conclusions and Implications—Interventions to increase vegetable consumption of this audience could 1) alter family norms about vegetables served, 2) change perceptions of past experiences, 3) reduce social and personal costs of serving vegetables and 4) increase tangible and social rewards of serving vegetables.

وصف الملف: application/pdf

العلاقة: https://digitalcommons.chapman.edu/comm_articles/7Test; https://digitalcommons.chapman.edu/cgi/viewcontent.cgi?article=1013&context=comm_articlesTest

الإتاحة: https://digitalcommons.chapman.edu/comm_articles/7Test
https://digitalcommons.chapman.edu/cgi/viewcontent.cgi?article=1013&context=comm_articlesTest

المؤلفون: MacEachren Alan M, Gruver Adrienne, Robinson Anthony C, Bhowmick Tanuka, Lengerich Eugene J

المصدر: International Journal of Health Geographics, Vol 7, Iss 1, p 36 (2008)

مصطلحات موضوعية: Computer applications to medicine. Medical informatics, R858-859.7

الوصف: Background The Pennsylvania Cancer Atlas (PA-CA) is an interactive online atlas to help policy-makers, program managers, and epidemiologists with tasks related to cancer prevention and control. The PA-CA includes maps, graphs, tables, that are dynamically linked to support data exploration and decision-making with spatio-temporal cancer data. Our Atlas development process follows a user-centered design approach. To assess the usability of the initial versions of the PA-CA, we developed and applied a novel strategy for soliciting user feedback through multiple distributed focus groups and surveys. Our process of acquiring user feedback leverages an online web application (e-Delphi). In this paper we describe the PA-CA, detail how we have adapted e-Delphi web application to support usability and utility evaluation of the PA-CA, and present the results of our evaluation. Results We report results from four sets of users. Each group provided structured individual and group assessments of the PA-CA as well as input on the kinds of users and applications for which it is best suited. Overall reactions to the PA-CA are quite positive. Participants did, however, provide a range of useful suggestions. Key suggestions focused on improving interaction functions, enhancing methods of temporal analysis, addressing data issues, and providing additional data displays and help functions. These suggestions were incorporated in each design and implementation iteration for the PA-CA and used to inform a set of web-atlas design principles. Conclusion For the Atlas, we find that a design that utilizes linked map, graph, and table views is understandable to and perceived to be useful by the target audience of cancer prevention and control professionals. However, it is clear that considerable variation in experience using maps and graphics exists and for those with less experience, integrated tutorials and help features are needed. In relation to our usability assessment strategy, we find that our distributed, web-based method ...

العلاقة: http://www.ij-healthgeographics.com/content/7/1/36Test; https://doaj.org/toc/1476-072XTest; https://doaj.org/article/4fcafdfc4a314747b8f70282d53602d9Test

الإتاحة: https://doi.org/10.1186/1476-072X-7-36Test
https://doaj.org/article/4fcafdfc4a314747b8f70282d53602d9Test

المؤلفون: Lengerich Eugene J, Naito Adam T, Roth Robert E, Chen Jin, MacEachren Alan M

المصدر: International Journal of Health Geographics, Vol 7, Iss 1, p 57 (2008)

مصطلحات موضوعية: Computer applications to medicine. Medical informatics, R858-859.7

الوصف: Background Kulldorff's spatial scan statistic and its software implementation – SaTScan – are widely used for detecting and evaluating geographic clusters. However, two issues make using the method and interpreting its results non-trivial: (1) the method lacks cartographic support for understanding the clusters in geographic context and (2) results from the method are sensitive to parameter choices related to cluster scaling (abbreviated as scaling parameters), but the system provides no direct support for making these choices. We employ both established and novel geovisual analytics methods to address these issues and to enhance the interpretation of SaTScan results. We demonstrate our geovisual analytics approach in a case study analysis of cervical cancer mortality in the U.S. Results We address the first issue by providing an interactive visual interface to support the interpretation of SaTScan results. Our research to address the second issue prompted a broader discussion about the sensitivity of SaTScan results to parameter choices. Sensitivity has two components: (1) the method can identify clusters that, while being statistically significant, have heterogeneous contents comprised of both high-risk and low-risk locations and (2) the method can identify clusters that are unstable in location and size as the spatial scan scaling parameter is varied. To investigate cluster result stability, we conducted multiple SaTScan runs with systematically selected parameters. The results, when scanning a large spatial dataset (e.g., U.S. data aggregated by county), demonstrate that no single spatial scan scaling value is known to be optimal to identify clusters that exist at different scales; instead, multiple scans that vary the parameters are necessary. We introduce a novel method of measuring and visualizing reliability that facilitates identification of homogeneous clusters that are stable across analysis scales. Finally, we propose a logical approach to proceed through the analysis of SaTScan results. ...

العلاقة: http://www.ij-healthgeographics.com/content/7/1/57Test; https://doaj.org/toc/1476-072XTest; https://doaj.org/article/f4172ab9594f4bd48b2185a5d5a0e696Test

الإتاحة: https://doi.org/10.1186/1476-072X-7-57Test
https://doaj.org/article/f4172ab9594f4bd48b2185a5d5a0e696Test

المؤلفون: Bencivenga, Marcyann, DeRubis, Susan, Leach, Patricia, Lotito, Lisa, Shoemaker, Charles, Lengerich, Eugene J.

المصدر: The Journal of Rural Health ; volume 24, issue 1, page 91-95 ; ISSN 0890-765X 1748-0361

الوصف: Context: Multiple national agencies and organizations recommend that women age 40 years and older have an annual screening mammogram. Women who are poor, less educated, lack a usual source of care, and reside in rural Appalachia are less likely to have had a recent mammogram. Purpose: To increase use of mammography among a rural Appalachian population. Methods: Formed in 1992, the Indiana County Cancer Coalition (ICCC) serves the cancer control needs of medically underserved families in Indiana County, Pennsylvania, through collaborative partnerships. During 2005, the ICCC adapted and implemented the American Cancer Society's Tell a Friend® program in a network of 18 local food pantries of the Indiana County Community Action Program. Findings: Of 302 age‐eligible women, 158 (52.4%) were in need of scheduling a mammogram. Of the 158 women, 138 (87.3%) received a mammogram as a result of the adapted Tell A Friend® program. Three (2.2%) women were diagnosed with breast cancer and received treatment. The number of breast cancer screenings provided to underserved Indiana County residents increased by 46 (28.2%) during 2005. Conclusions: Implementation of this evidence‐based intervention in a network of local food pantries successfully provided mammography to rural women and demonstrated potential impact from a community cancer coalition in Appalachia. The initiative worked closely with local partners who are affiliated with a national infrastructure, thereby suggesting potential future dissemination.

الإتاحة: https://doi.org/10.1111/j.1748-0361.2008.00142.xTest

المؤلفون: Bhowmick, Tanuka, Robinson, Anthony C, Gruver, Adrienne, MacEachren, Alan M, Lengerich, Eugene J

المصدر: International Journal of Health Geographics ; volume 7, issue 1 ; ISSN 1476-072X

مصطلحات موضوعية: Public Health, Environmental and Occupational Health, General Business, Management and Accounting, General Computer Science

الوصف: Background The Pennsylvania Cancer Atlas (PA-CA) is an interactive online atlas to help policy-makers, program managers, and epidemiologists with tasks related to cancer prevention and control. The PA-CA includes maps, graphs, tables, that are dynamically linked to support data exploration and decision-making with spatio-temporal cancer data. Our Atlas development process follows a user-centered design approach. To assess the usability of the initial versions of the PA-CA, we developed and applied a novel strategy for soliciting user feedback through multiple distributed focus groups and surveys. Our process of acquiring user feedback leverages an online web application (e-Delphi). In this paper we describe the PA-CA, detail how we have adapted e-Delphi web application to support usability and utility evaluation of the PA-CA, and present the results of our evaluation. Results We report results from four sets of users. Each group provided structured individual and group assessments of the PA-CA as well as input on the kinds of users and applications for which it is best suited. Overall reactions to the PA-CA are quite positive. Participants did, however, provide a range of useful suggestions. Key suggestions focused on improving interaction functions, enhancing methods of temporal analysis, addressing data issues, and providing additional data displays and help functions. These suggestions were incorporated in each design and implementation iteration for the PA-CA and used to inform a set of web-atlas design principles. Conclusion For the Atlas, we find that a design that utilizes linked map, graph, and table views is understandable to and perceived to be useful by the target audience of cancer prevention and control professionals. However, it is clear that considerable variation in experience using maps and graphics exists and for those with less experience, integrated tutorials and help features are needed. In relation to our usability assessment strategy, we find that our distributed, web-based method ...

الإتاحة: https://doi.org/10.1186/1476-072x-7-36Test

المؤلفون: Chen, Jin, Roth, Robert E, Naito, Adam T, Lengerich, Eugene J, MacEachren, Alan M

المصدر: International Journal of Health Geographics ; volume 7, issue 1, page 57 ; ISSN 1476-072X

مصطلحات موضوعية: Public Health, Environmental and Occupational Health, General Business, Management and Accounting, General Computer Science

الإتاحة: https://doi.org/10.1186/1476-072x-7-57Test

المؤلفون: Scurry, W. Cooper, Goldenberg, David, Chee, Michael Y., Lengerich, Eugene J., Liu, Yihai, Fedok, Fred G.

المصدر: Archives of Otolaryngology–Head & Neck Surgery ; volume 133, issue 8, page 796 ; ISSN 0886-4470

الإتاحة: https://doi.org/10.1001/archotol.133.8.796Test
https://archotol.jamanetwork.com/ama/content_public/journal/otol/11931/ooa70054_796_800.pdfTest