[Full text] Mobile health screening initiatives: a narrative of three unique progr | IEH


mobile diabetes screening initiative

Mobile Diabetes and Hypertension Wellness Initiative. The initiative is designed to include facilities in all three counties in the state. Any participating employee with “abnormal” results from the screening is referred to their healthcare provider according to the protocol agreed on with company representatives. Many of the onsite. The Aboriginal Diabetes Initiative, a program of the Department of National Health and Welfare (Canada), funds or has funded nine “mobile diabetes screening and management projects”, or. The Mobile Diabetes Screening Initiative (MDSi) is a diabetes screening program based at the University of Alberta, Edmonton, Alberta, Canada, and is part of the BRAID Diabetes Research axbells.gq has a field team of health professionals, which travels to remote and rural communities in Alberta, particularly off-reserve Aboriginal Communities (including the eight incorporated Métis.

Mobile diabetes screening initiative - Wikipedia

Javascript is currently disabled mobile diabetes screening initiative your browser. Several features of this site will not function whilst javascript is disabled. Received 2 March Mobile diabetes screening initiative 17 July Volume Pages 41— Review by Single-blind. Editor who approved publication: Professor Rubin Pillay. Alarmingly, racial and socioeconomic disparities in medical screening programs remain vast and ultimately contribute to poorer outcomes.

Improving screening in areas of lower socioeconomic status extends a service to individuals who may have otherwise gone undiagnosed, in areas where disease is often diagnosed as late-stage disease, accompanied by comorbid conditions.

Methods: The authors coordinated and implemented three unique mobile health initiatives throughout underserved populations in metropolitan Atlanta. Special mobile diabetes screening initiative was paid to minority populations. Reference searches of the retrieved articles were performed manually to ensure that all available studies and data were reviewed. Results: Mobile health screening was performed in three ways. The first focused mobile diabetes screening initiative hypertension and asthma by screening individuals at a location commonly visited, ie, the grocery store.

The second targeted obesity in underserved populations through a simple identification program that educated individuals on foods that are healthy and those that are not, mobile diabetes screening initiative.

Lastly, we developed an educational program targeting tobacco products, particularly e-cigarettes, which we implemented for adolescent populations through our metropolitan area. Targeting specific populations is of utmost importance, and engaging individuals at the community level can greatly improve the likelihood of success, particularly if the health care practitioners involved understand the cultural characteristics and customs of that population.

Engaging health care practitioners in mobile screening represents a significant previously untapped resource that can increase screening throughput and greatly improve outcomes for patients who would otherwise go with an undiagnosed disease process. Keywords: mobile, health screenings, underserved, obesity, mobile diabetes screening initiative, tobacco, food insecurity, mobile diabetes screening initiative, disparity, e-cigarettes.

Modern advances in the medical field have exponentially increased the diagnostic abilities of medical practitioners over the past half century, while simultaneously decreasing the morbidity of what were once considered fatal diseases. Advances in medicine are also changing the way in which medicine is practiced, mobile diabetes screening initiative, moving from a reactionary method of patient care toward a more preventive approach. Preserving health prior to the onset of potentially avoidable medical illness is essential and critical in an effort to reduce morbidity and increase quality of life for patients.

In order to prevent disease, a comprehensive screening tool must be utilized. A tenet of effective screening is to employ a screening tool for detection of disease that has high prevalence.

For this reason, we targeted three specific disease processes for which we could develop mobile screening programs, ie, hypertension, obesity, and mobile diabetes screening initiative use.

Furthermore, a high racial disparity exists between African American and white populations, with respect to the aforementioned disease processes. Our goals included the following: to extend the mobile service to individuals who would otherwise not receive general health screening, to educate individuals in the underserved community, and take steps to eliminate the racial disparity that exists in underserved communities.

We accomplished these initiatives through three activities, each with a unique goal, but with the underlying themes of education and prevention. The authors coordinated and implemented three unique mobile health initiatives in underserved populations in metropolitan Atlanta. All of these screening events, although they may have entailed different disease processes, required similar steps to be successful, mobile diabetes screening initiative.

A general summary is included in Figure 1which presents the steps needed to perform successful health screening. Reference searches were performed manually for all retrieved articles to ensure that all available studies and data were reviewed. Each health screening initiative was first reviewed and approved by the Emory University Institutional Review Board. Our first mobile health screening initiative targeted hypertension and asthma. With the help of a grocery store located in a high-density, underserved community of metropolitan Atlanta, we were able to organize a 2-hour event offering screening to customers in the store.

Individual stations were created, one with a sphygmomanometer, one with an asthma questionnaire, and one with a binocular eye examination machine. As individuals mobile diabetes screening initiative into the store, they were asked if they would like to participate in a free mobile diabetes screening initiative screening check.

Family and friends were often present, allowing simultaneous shopping and screening. A physician was present at all times to supervise the screening process and to verify that the volunteers performed proper medical technique for each medical and health screening. A healthy eating demonstration also attracted individuals to the stations. In this setting, mobile diabetes screening initiative, the use of visual and olfactory stimulation was utilized as a tool to create interest on the part of the potential screening participants.

A professional chef volunteered her time to demonstrate healthy cooking alternatives using fruit, vegetables, and other non-processed ingredients.

The recipe was handed to the participants, giving them a quick, easy, and delicious meal that they could replicate at home. As participants were screened, abnormal values were noted and the participant was told of the abnormal value.

Lastly, the participant was encouraged to see their primary care physician regularly for routine screening, mobile diabetes screening initiative.

If the participant did not have a primary care physician, they were again referred to a nearby income-based clinic. Throughout the process, the participant was able to obtain basic information on their health status, learn fundamental information about their disease process, and, if applicable, be supplied with information on resources for care in their community, and obtain a healthy snack in the process.

The Nutrition Mobile diabetes screening initiative is a program implemented by the senior author, an otolaryngologist at our public metropolitan hospital system and founder of the HEALing Community Center.

Our design was simple, ie, a sticker system indicating preferred healthier food choices that an individual might purchase. The initial design was created employing three colors, similar to those at traffic lights. A sticker was placed next to the price label for each item so that it could be noticed easily, mobile diabetes screening initiative.

A large poster was then created that could quickly explain the idea of the sticker system at a glance, and was displayed near the entrance to the food section of the store. It is important to note that this system was designed to primarily focus on the positive food choices available for purchase, mobile diabetes screening initiative.

Our first event was launched at a Walmart store Bentonville, AR in an underserved, high-density area near downtown Atlanta. Nearly 50 volunteers, mobile diabetes screening initiative, including community members, physicians, and medical, dietetic, and undergraduate students, participated and labeled each food-related aisle in the store in less than 3 hours.

Tobacco products scattered throughout the store were also found and labeled red to indicate that they should be avoided. Data were collected to allow for evaluation and dissemination of our initiative and to monitor the effectiveness of the program, mobile diabetes screening initiative.

The next goal was to increase awareness of the Nutrition Initiative. To combat poor health in the community, we decided to target the parent-child unit, mobile diabetes screening initiative. This endeavor would increase the pervasiveness of our message in the community and improve the likelihood that could survive and this knowledge persist through a generation of individuals in a family.

The most effective approach to accomplish this was in the school setting, specifically at meetings of the Parent-Teacher Association. Our aim here was to notify parents, teachers, and students of the sticker system, and to convey our ideas to children at a young age. As a second stage in the shelf-labeling program, we have developed an alternative system in conjunction with the Emory Urban Health Initiative community, and philanthropic organizations. A modification of this labeling system includes the development of a Food Oasis Program label, mobile diabetes screening initiative.

This current labeling system focuses only on positive food choices. A Food Oasis Program label is placed mobile diabetes screening initiative the better and best food item choices, thereby drawing the attention of the shopper to those items as opposed to providing a showcase for poor choices. Analyses of the effectiveness of these two versions of the labeling systems are currently in process, but the Nutrition Initiative pilot program has been successful, and future additional labeling efforts will take place at supermarkets in high-density underserved areas throughout metropolitan Atlanta.

As the Nutrition Initiative expands, and we are able to compile data, we anticipate that the sticker system will be further modified to continue improved identification of healthier food options and also to ensure lasting effects.

In an effort to reduce tobacco use in the adolescent population, including smokeless tobacco in the form of electronic cigarettes, we created a curriculum to provide information to students and families in underserved areas of our community. The goal was to institute a simple, reproducible, and sustainable learning program that would decrease tobacco use in the adolescent population.

The curriculum was worksheet-based and required only paper and pencil. In addition, mobile diabetes screening initiative, the worksheets were easily transferable — in other words, no special training was necessary to teach the curriculum. The six lessons progressed through identification of tobacco products, the effects of tobacco, peer pressure, smoking and the environment, tobacco in the media, and ended with a smoking-free pledge.

At the end of each lesson, mobile diabetes screening initiative, a review activity re-engaged the participants and also assessed their knowledge of the lesson that had just been imparted to them. The assessments were twofold, ie, to recapitulate important terms and ideas and to create an objective data set so that the effectiveness of the curriculum could be measured.

After the session, the data from the activities was reviewed and mobile diabetes screening initiative an overwhelmingly positive gain in the fund of knowledge by the participants. During the presentations and discussions arising from these sessions, it was determined that there was a need to incorporate a discussion of the use of marijuana in the curriculum, mobile diabetes screening initiative.

These sessions became a safe place for elementary students to not only be educated on tobacco products but also share their personal experiences.

Consequently, an additional component of the curriculum following the same format is being created by mobile diabetes screening initiative Morehouse Public Health Program focused on marijuana use and its effects. This collaborative effort between academic institutions demonstrates how health care practitioners can be effectively engaged in activities to greatly mobile diabetes screening initiative outcomes by working together in a collective fashion.

In order to be as effective as possible in our mobile health screening initiative, we targeted the most common disease processes in the general population and focused on conditions that could be easily screened for in the community setting, such as hypertension, asthma, and obesity.

We also targeted one of the most highly impactful determinants of health, ie, tobacco. Key to performing community-based interventions such as mobile screenings is providing an environment where individuals are capable of having the screening performed in an easy and proficient fashion. It is critical to engage people in a physical area and in a manner where they can feel safe, their privacy will not be compromised, and in an environment where the screening can be repeated at any time.

On occasion this requires modification of the location to provide the security required. One example of a location utilized by the authors of this paper that was modified to create the appropriate environment was a supermarket in an underserved region of our metropolitan area.

This site is commonly used by the community and draws a high number of people. Costs were kept to a minimum, with the goal of reproducibility and transferability without the need for great expense, mobile diabetes screening initiative. The supermarket provided basic materials including chairs and tables. The volunteers, who consisted of medical students and physicians, provided the necessary medical supplies.

The Nutrition Initiative was developed in an effort to encourage people to think about health in the broader sense. Health is intimately connected to social determinants. Social determinants of health are the precursor social and economic factors that influence health and disease.

This includes the conditions in which we live, work, and learn, 6 and are effectively the root determinants of health and disease. The mobile diabetes screening initiative of chronic disease conditions are influenced by poor nutrition and a sedentary lifestyle.

The Nutrition Initiative screens for signs of food insecurity in a mobile fashion in an effort to eliminate poor eating habits and promote healthy preventative measures by making small and stepwise changes in the community. Our goal is to create a simple but effective way to identify healthy foods at supermarkets and grocery stores in underserved areas. Ideally, anyone who walks into a grocery store would be able to select a healthy item easily by looking at the labeling.

Screening initiatives can be implemented in several forms. Creativity is paramount in constructing situations mobile diabetes screening initiative continually pique interest and engage individuals in topics that are important to their health.



mobile diabetes screening initiative


Mobile Diabetes and Hypertension Wellness Initiative. The initiative is designed to include facilities in all three counties in the state. Any participating employee with “abnormal” results from the screening is referred to their healthcare provider according to the protocol agreed on with company representatives. Many of the onsite. Jan 01,  · Background: HABITS for Life was a 3-year initiative to broadly deliver a statewide biometric and retinal screening program via a mobile unit throughout New Mexico at no charge to participants. The program goal—to identify health risk and improve population health status—was tested over a 3-year period. Value to participants and impact to the healthcare system were measured to Cited by: and the Aboriginal Diabetes Initiative fund or have funded nine “mobile diabetes screening and management projects”, or “mobile diabetes clinics”. Five of these projects provide eye.