<![CDATA[ College of Public Health & Health Professions » College of Public Health and Health Professions » University of Florida]]> https://phhp.ufl.edu UNIVERSITY of FLORIDA Wed, 09 Oct 2019 14:14:18 +0000 en-US hourly 1 https://wordpress.org/?v=5.2.2 Dean’s Scholar Lecture Series https://phhp.ufl.edu/2019/10/09/deans-scholar-lecture-series-3/ Wed, 09 Oct 2019 14:12:58 +0000 http://phhp-main-new-a2.sites.medinfo.ufl.edu/?p=23933 queen quetQueen Quet Marquetta L. Goodwine, Chieftess of the Gullah/Geechee Nation, will present “De Gullah/Geechee: Living Resilience and Sustainability Culturally” on Thursday, Oct. 17 at 3 p.m. in the Communicore Building, room C1-15 as part of the College of Public Health and Health Professions Dean’s Scholar Lecture Series. A reception and book signing will follow the lecture.

In her presentation, Queen Quet will discuss the impact of environmental health and climate change on food security and the way of life for the Gullah/Geechee community and how community engagement efforts can combat some of these issues.

Queen Quet is the visionary behind the Gullah/Geechee Sustainability Think Tank, which centers its work on human health and environmental quality, coupled with the protection of coastal cultural heritage. They seek to ensure equity is a part of the climate change, resilience and sustainability plans being made in the region and nationally. The Gullah/Geechee are African descendants of slaves with strong cultural ties to West Africa, including a distinct Creole language. The Gullah/Geechee Cultural Heritage Corridor runs along the Sea Islands, stretching from Jacksonville, Florida to Jacksonville, North Carolina.

Queen Quet’s lecture is hosted by the PHHP office of the dean and the department of environmental and global health.

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PHHP names 2019 Outstanding Alumni https://alumni-giving.phhp.ufl.edu/2019/09/23/phhp-names-2019-outstanding-alumni/ Tue, 24 Sep 2019 20:39:38 +0000 http://phhp-main-new-a2.sites.medinfo.ufl.edu/?p=23784 UF, Stanford get $7.6 million grant to expand diabetes program https://ufhealth.org/news/2019/uf-health-stanford-get-76-million-grant-expand-diabetes-program Fri, 20 Sep 2019 14:40:02 +0000 http://phhp-main-new-a2.sites.medinfo.ufl.edu/?p=23681 Promoting Happy, Healthy People https://phhp.ufl.edu/2019/09/13/promoting-happy-healthy-people/ Fri, 13 Sep 2019 17:00:00 +0000 http://phhp-main-new-a2.sites.medinfo.ufl.edu/?p=23490 wellness walk
A daily 15-minute walk helps Natacha Miller and Jacky Scott connect, recharge and focus for the rest of the workday. Photo by Louis Brems.
By Jill Pease

Every weekday around 2:30 p.m., physical therapy department staff members Natacha Miller and Jacky Scott motivate each other to get out of their seats and take a 15- to 20-minute walk around campus, threading through wooded areas north and east of the HPNP Complex toward Beatty Tower. The benefits of these walks are more than just physical, Scott said. They are a chance to connect with a co-worker in a different way, and to come back to the office feeling recharged and better able to focus on work.

Daily 15-minutes walks and “walking meetings” are two of the healthful habits recommended by the College of Public Health and Health Professions’ new Promoting Happy, Healthy People, a collegewide, incentive-based wellness program. Launched this month, the program incorporates activities that encompass the eight dimensions of wellness endorsed by the Substance Abuse and Mental Health Services Administration: emotional, environmental, financial, intellectual, occupational, physical, social and spiritual.

Director Tara Sabo-Attwood, Ph.D., an associate professor and chair of the department of environmental and global health, led the creation of Promoting Happy, Healthy People as a way to offer wellness services within the college with a focus on prevention.

“The goal is to help employees and students engage in activities or find resources that help people achieve everyday wellness, whether it’s managing stress and anxiety, increasing physical activity or improving mental health, all with a holistic approach,” she said.

walking-and-talking
Dr. Tara Sabo-Attwood and Dr. Karoun Bagamian, an affiliate faculty member in environmental and global health, fit in a walk between teaching responsibilities during a visit to Duke University.

In researching wellness programs, Sabo-Attwood found very little peer-reviewed research on campus wellness programs. Most of the current data come from corporate wellness programs, which informed Promoting Happy, Healthy People’s Wellness Workdays component.

More than 30 college faculty, staff and students participated in a pilot of Wellness Workdays this summer. Participants received a weekly checklist with suggestions to promote physical activity, mental health, environmental and social health, and nutrition. Example activities included performing light exercises at your desk, or “deskercise,” performing duties standing up for at least 30 minutes, meditating, journaling, performing an act of kindness, trying new recipes and cutting out fast food. Weekly group activities included a campus litter pick-up, doodle party and “eat the rainbow” potluck focused on colorful fruits and vegetables. Participants earned points toward prizes and a weekly leaderboard provided some friendly competition.

Scott, a marketing assistant in the department of physical therapy, joined the pilot with a goal of boosting her activity level during the workday. She appreciated that the checklist was a simple way to track her progress rather than downloading an app and inputting data. Since the pilot program, she’s been more conscious of increasing her water consumption, in addition to the daily walks with Miller.

“Staying a little more active during the day not only helps your health, it also affects your work in a positive way,” Scott said.

wellness lunch
Nima Madani shares lunch with labmates Sara Humes, a Ph.D. student in One Health, and Sarah Robinson, lab manager.

Nima Madani, a doctoral student in public health with a One Health concentration, signed up for the summer pilot to focus on mental and social health. His favorite activity was “never eat alone,” which encouraged participants to eat lunch with a friend or colleague away from their desks.

“Before this, I always ate lunch at my desk alone,” Madani said. “Now that I have more social contact, I feel more engaged, more connected and I’ve learned more about my lab mates. We’re still having conversations and having lunch together. Taking half an hour to an hour to refresh and focus on actual people instead of focusing on coming here, doing my job and going home, created more joy and less pressure in my life.”

Promoting Happy, Healthy People will continue to offer Wellness Workday challenges for PHHP faculty, staff and students during the fall, spring and summer semesters, beginning next month. In addition, the wellness program team, which includes Sabo-Attwood, Assistant Program Director Nick Green, Ph.D., as well as a taskforce members and ambassadors from across the college, are focusing on wellness resources aimed at graduate students. This fall they will survey PHHP Ph.D. students to better understand their stressors and what resources would best serve them.

litter pickup
Makeda Moore, a doctoral student in the department of clinical and health psychology, and Nick Green beautify campus by picking up litter.

Other research associated with the wellness program include projects focused on increasing youth and adolescent physical activity; the health effects of green spaces on hospital stays; reducing sedentary behavior in the workplace; and increasing stair usage. Students interested in contributing to research can learn more about the projects on the program’s website, wellness.phhp.ufl.edu.

“Research, leadership and culture are three really important pillars of this program,” Sabo-Attwood said. “Our long-term vision is to create a culture change around wellness. People often feel they are too busy to incorporate wellness activities into their days so trying to find ways to change that mindset is one of the biggest challenges. We would also like to be seen as leaders in the field of wellness research and it makes sense for that work to come out of a school of public health.”

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Suicide rates among adolescent females higher than previously reported https://ufhealth.org/news/2019/suicide-rates-among-adolescent-females-higher-previously-reported-uf-study-finds Fri, 13 Sep 2019 15:28:51 +0000 http://phhp-main-new-a2.sites.medinfo.ufl.edu/?p=23570 This Month in PHHP https://phhp.ufl.edu/?wysija-page=1&controller=email&action=view&email_id=88&wysijap=subscriptions Wed, 28 Aug 2019 13:24:06 +0000 http://phhp-main-new-a2.sites.medinfo.ufl.edu/?p=23240 Study finds obesity-related cancer treatment costs are twice that of other cancers https://phhp.ufl.edu/2019/08/26/study-finds-obesity-related-cancer-treatment-costs-are-twice-that-of-other-cancers/ Mon, 26 Aug 2019 13:10:08 +0000 http://phhp-main-new-a2.sites.medinfo.ufl.edu/?p=23159 Obesity-related cancers now account for 40 percent of all new cancer cases in the U.S., a 10 percent increase from 2014. A new study by University of Florida researchers finds that the rise in these cases has a significant economic burden.

In a paper published in the journal Value in Health, the scientists report that patients with an obesity-related cancer incurred a higher mean annual total health expenditure ($21,503) than those with another cancer type ($13,120). Obesity-related cancer accounted for nearly 43.5 percent of total direct cancer care expenditures, estimated at $35.9 billion in 2015.

“The economic burden of obesity-related cancer in the U.S. is substantial and this burden is expected to rise as the prevalence of obesity increases,” said the study’s lead author Young-Rock Hong, a doctoral student in health services research at the UF College of Public Health and Health Professions. “In addition to obesity prevention and management among the general population, multifaceted strategies, including education and sustained intervention programs to address obesity among cancer survivors, may be needed to reduce the economic burden.”

The team also found the prevalence of obesity-related cancer was higher among racial and ethnic minorities as well as younger populations, particularly between the ages of 18 to 34.

For the study, researchers analyzed data from the Medical Expenditure Panel Survey from 2008 to 2015, estimating annual health expenditures by cancer type. The International Agency for Research on Cancer and the Centers for Disease Control and Prevention have identified 13 cancers linked with obesity. These include esophageal, colorectal, endometrial, gallbladder, stomach, kidney, liver, ovarian, pancreatic, thyroid, and postmenopausal breast cancers.

“Relative to other obesity-associated health conditions, such as Type 2 diabetes and cardiovascular disease, fewer efforts have been made to evaluate the economic impact of obesity on cancer survivorship, including potential short-and long-term cost savings resulting from obesity prevention or treatment interventions among patients with cancer,” Hong said. “Future studies should address these questions.”

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Special Topics Seminar: Graduate Student Self-Care https://wellness.phhp.ufl.edu/2019/08/22/special-topics-seminar-graduate-student-self-care/ Fri, 23 Aug 2019 17:03:57 +0000 http://phhp-main-new-a2.sites.medinfo.ufl.edu/?p=23138 PHHP Wellness Program announces naming contest winners https://wellness.phhp.ufl.edu/2019/08/02/phhp-wellness-naming-winners/ Wed, 14 Aug 2019 15:35:57 +0000 http://phhp-main-new-a2.sites.medinfo.ufl.edu/?p=22898 “Teach-back” technique can reduce hospital visits https://news.ufl.edu/2019/08/teach-back-can-prevent-hospitalizations/ Mon, 05 Aug 2019 19:28:52 +0000 http://phhp-main-new-a2.sites.medinfo.ufl.edu/?p=22885

At a typical doctor visit, the physician does most of thdoctor with patiente explaining. But a new study shows that when certain patients “teach back” a doctor’s instructions, they’re less likely to wind up in the hospital.

In the study, people living with high blood pressure, Type 2 diabetes and heart disease — conditions that can result in hospital visits if not managed effectively at home or with a patient’s primary care doctor — saw double-digit drops in hospital admissions compared with patients who did not teach their instructions back to their health-care provider.

“For patients with these conditions, most of their care happens at home,” said Young-Rock Hong, a doctoral student in health services research at the University of Florida’s College of Public Health and Health Professions and the lead author of the study, which appears in the Journal of General Internal Medicine. “Teach-back helps doctors identify what information patients are lacking, or what they misunderstood, so they can correct it.”

The study, conducted with UF professors Michelle Cardel and Carla Fisher and colleagues from the University of Texas, the New York Academy of Medicine and the University of Alabama,   looked at five years of nationwide health care data from the Longitudinal Medical Expenditure Panel Survey. When adults 18 and older with high blood pressure, Type 2 diabetes, heart disease, asthma or chronic obstructive pulmonary disease were asked to repeat care instructions back to their doctor in their own words, they were 15% less likely to be admitted to the hospital and 23% less likely to be repeatedly hospitalized.

While other studies have looked at a single disease or patients at a single hospital, this is the first nationally representative study to show how teach-backs can help people with these conditions manage their health without expensive, inconvenient hospital visits.

But the study revealed a troubling statistic: Nearly a third of the 14,110 patients in the study said their doctors had never asked them to teach back. That didn’t surprise co-author Fisher, a researcher in UF’s College of Journalism and Communications who studies health communication. But if your doctor doesn’t ask you to teach back, you can initiate it on your own, she says.

“It’s a very helpful communication strategy for patients to initiate if a provider does not. It’s certainly one I use in my own health care as a patient, but probably even more in my role as a caregiver or care partner for my children and spouse.”

What’s preventing doctors from encouraging patients to repeat home care instructions in their own words? Past research indicates that physicians are more likely to use teach-back for certain populations. Time could also be a factor, Hong says, despite the fact that a teach-back can be done in just two to five minutes. He plans to look further into barriers to teach-back in the next phase of his research, as well as teasing out exactly how the method works to reduce hospitalization.

“The idea is that better communication leads to better adherence to doctors’ instructions, which leads to better health outcomes,” Hong said.

Co-author Cardel encourages physicians to initiate teach-back interactions with each patient they see.

“It only takes a moment and can have significant ramifications for the health outcomes of the patient,” she said.

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