Annals of family medicine
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Annals of family medicine · Jan 2023
Dietary, Cooking, and Eating Pattern Outcomes from the Emory Healthy Kitchen Collaborative.
Context: Teaching kitchens are emerging innovative and engaging models for creating lifestyle behavior change. They are increasingly being utilized in workplace settings. Objective: The Emory Healthy Kitchen Collaborative (EHKC) year-long worksite wellness teaching kitchen program sought to improve self-reported health behaviors, including food choices, cooking skills, and mindful eating habits. ⋯ Conclusion: The EHKC worksite wellness program provided valuable knowledge and insight into the use of a teaching kitchen as a unique health care delivery model. The program significantly improved participant dietary patterns and mindful eating habits; though did not significantly improve cooking confidence or frequency. Further research is needed to understand long term health consequences and disease risk reduction of the EHKC program.
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Annals of family medicine · Jan 2023
Observational StudyLatino Adolescent-Mother Language Concordance, Neighborhood Deprivation, and Vaccinations in Community Health Centers.
Context: Latino adolescents face multilevel barriers (e.g. language, neighborhood deprivation) to preventive care, including recommended vaccinations. There is little research on the association between Latino adolescent-mother preferred language concordance and vaccination completion and if it varies by neighborhood deprivation. Objective: To better understand the social/family factors associated with Latino adolescent vaccination completion by studying the association of adolescent-mother language concordance and neighborhood social deprivation with adolescent vaccination completion. ⋯ While there was some evidence of variation by neighborhood social deprivation in influenza vaccination rates, these effects were minor in comparison to differences by ethnicity and language concordance. Conclusions: In a multistate analysis of vaccinations among Latino and non-Latino adolescents, English-preferring adolescents with Spanish- preferring mothers had the highest completion rates and English-preferring non-Hispanic white dyads had the lowest. Further research can seek to understand why this language dyad may have an advantage in adolescent vaccination completion.
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Annals of family medicine · Jan 2023
Primary Care Physicians' Perspectives on Identifying Familial Hypercholesterolaemia in Primary Care: A Qualitative Study.
Context Familial hypercholesterolaemia (FH) is a common autosomal dominant disorder, causing elevated cholesterol from birth, premature heart disease, and early death. Objective This study explored primary care physicians' experiences and perspectives on identifying FH in Malaysian primary care. Study Design and Analysis A qualitative study involving semi-structured interviews and focus group discussions with 22 primary care physicians (PCPs) in two primary care clinic settings. ⋯ The PCPs recommended a user-friendly case-finding tool for FH, and establishing FH registry and clinical practice guideline in Malaysia, alongside a national FH screening strategy and awareness campaigns for both clinicians and general public. Conclusions PCPs are positive about improving the identification of FH in primary care. However greater support in their practice and wider system developments and change are needed.
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Annals of family medicine · Jan 2023
Community Engaged Translation of Adverse Childhood Experiences Information Into Locally Relevant Public Health Messaging.
Objective: Conduct Boot Camp Translation to develop locally relevant messages about Adverse Childhood Experiences. Setting: The Oxford Hills region of Maine is home to Stephen's Memorial Hospital, which funds Healthy Oxford Hills, a coalition dedicated to promoting a caring, self-reliant, and healthy community. Residents of Oxford Hills bare a disproportionate burden of poverty, low income, chronic disease and ACEs as compared to other counties in Maine. ⋯ Data collection included observations using the Pyramid of Engagement Rubric, participant surveys and interviews. Additional descriptive measures included number of materials created, distribution locations and the use of QR codes mapped to a partner website and social media hashtags to assess engagement. Results: 100% of respondents found the BCT process valuable and thought the right mix of people were involved. 44% of participants were not able to participate at much as they would have liked due to issues with technology and scheduling. 75% of initial participants completed the project.