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  • ISSN: 2379-0547
    Volume 4, Issue 4
    Research Article
    Liza M. Creel*, Janet A. Thomas, Sharon Homan, Brad Thompson, Marilyn Brown, Kathryn L. Hassell, Tarra Thomas, and Celia I. Kaye
    The medical home is an approach to providing comprehensive and coordinated care to children and families, including those impacted by special health care needs (CSHCN); it supports families with both medical and non-medical needs. Connecting families to non-medical community support services is challenging for many clinical providers. The Parent Partner Program was designed to train parents of CSHCN to work in their community pediatricians' practices and help other families of CSHCN navigate clinical and social support services. The Parent Partner Program was implemented in eight pediatric primary care clinics across Montana and Wyoming in 2012. Three surveys were implemented to investigate the perceptions of participating providers, Parent Partners, and parents. The surveys indicatedmedium to high levels of satisfaction with the Parent Partner Program among all stakeholder groups. Despite limited perceived family awareness, the program has shown early successes in providing emotional support for families and improving practice efficiency. Areas for improvement included adding more in-depth training on topics and improving ongoing communication between care team members. Community-based pediatricians may consider implementing a patient navigation model such as the Parent Partner Program as an approach to providing more comprehensive care to families of CSHCN.
    Emily Schulz*, Curtis Bay R, Beverly Rosa Williams, Eddie M. Clark, Jin Huang, and Cheryl L. Holt
    Objectives: The purpose of this study was to examine the relationships between partner and parental status and self-reported weekly fruit and vegetable consumption and level of physical activity in African American adults.
    Methods: A national sample of 2,370 African Americans participated in a telephone survey. Demographic data were collected and compared with fruit and vegetable consumption and physical activity responses.
    Results: When controlling for age (mean age = 53.6 + 14.8 years) and education level, having children in the household was associated with greater fruit consumption. Being partnered was associated with moderate physical activity weekly for a higher percentage of women, and yet a shorter duration of minutes of moderate physical activity weekly for both women and men. Males (38.2% of the sample) reported being more physically active and females (61.8% of the sample) reported eating more fruits and vegetables.
    Conclusions: By understanding the role of partner and parental status in relation to healthy lifestyle for African Americans, family scientists and health care practitioners may be able to target the needs of this population to help prevent obesity and chronic illness.
    Tara Benesch*, Jennifer Falbe, Ana Ibarra-Castro, Kristine A. Madsen, and Karen Sokal-Gutierrez
    Background: Sugar-sweetened beverages (SSBs) are the leading source of added sugar in the American diet and are associated with diabetes, obesity, and tooth decay. SSB consumption is highest in low-income communities, placing them at higher risk for poor health outcomes. To curb SSB consumption, Berkeley, California became the first city in the nation to implement an SSB excise tax ($0.01/oz) in 2014. Although quantitative studies indicate that Berkeley's SSB tax led to a decrease in SSB consumption, there are limited data on consumer beliefs and attitudes regarding beverages in response to an SSB tax. We sought to understand how parents - the nutritional decision-makers for young children – responded to the tax, focusing on the influence over behaviors, potential health impacts, and the use of tax revenues.
    Methods: We conducted 2 focus groups and 20 semi-structured individual interviews with primarily low-income Berkeley parents.
    Results: Reactions to the Berkeley Soda Tax were mixed. Most parents reported already reducing SSB consumption prior to the tax as a result of nutrition education and/or personal experiences with adverse health outcomes. The tax further incentivized parents to avoid SSBs by increasing SSB prices. While parents largely supported the tax, most had questions about how funds were being used, and many did not believe the tax would significantly change behavior of other members of their community due to the addictive qualities of SSBs.
    Conclusions: Our findings suggest that Berkeley's SSB tax facilitated parents reducing SSB purchases. The long-term effectiveness of SSB taxes may depend on how funds are used. Parents largely support using revenues for education; thus allocating revenue towards nutrition education and effectively communicating such allocations may increase constituent support for SSB taxes, as well as decrease overall SSB consumption.
    Ennio Duranti*
    Modern healthcare is a highly complex process with many variables, dynamics and pressures that pose many challenges to an offer with a high standard. From this point of view it is significantly high the number of decisions that professionals are required to take in the course of any diagnostic and / or therapeutic treatment [1].
    Short Communication
    Henriette W. Langdon* and Terry Irvine Saenz
    Given the current changing demographics witnessed by the entire world, the intent of this short communication is to provide professional colleagues and the public at large a synopsis about the topic of bilingualism and its impact in health-related professions and education. This short communication focuses on information that should be considered when assessing a child who is growing up in a home where another language than English is spoken and who may experience challenges in acquiring one or both languages. The information is presented by two bilingual speech and language pathologists who serve the numerous and varied populations residing in California, one of the most linguistically and culturally diverse states in the United States of America. It includes four sections: 1) myths and realities about bilingualism; 2) how to bridge communication between professionals and clients when they do not share the same language and/or culture; 3) lessons to be learned; and, 4) a comprehensive list of references.
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