Supporting community engagement through teaching, student projects and research

The Education Acts statutory obligations for ITPs are not supported by the Crown funding model. Part of the statutory role of an ITP is “... promotes community learning and by research, particularly applied and technological research ...” [The education act 1989]. In relation to this a 2017 TEC report highlighted impaired business models and an excessive administrative burden as restrictive and impeding success. Further restrictions are seen when considering ITPs attract < 3 % of the available TEC funding for research, and ~ 20 % available TEC funding for teaching, despite having overall student efts of ~ 26 % nationally. An attempt to improve performance and engage through collaboration (community, industry, tertiary) at our institution is proving successful. The cross-disciplinary approach provides students high level experience and the technical stretch needed to be successful engineers, technologists and technicians. This study presents one of the methods we use to collaborate externally through teaching, student projects and research

Driving to Opportunity: Understanding the Links among Transportation Access, Residential Outcomes, and Economic Opportunity for Housing Voucher Recipients

In the 1990s and early 2000s, the Department of Housing and Urban Development sponsored two major experiments to test whether housing choice vouchers propelled low-income households into greater economic security, the Moving to Opportunity for Fair Housing program (MTO) and the Welfare to Work Voucher program (WTW). Using data from these programs, this study examines differences in residential location and employment outcomes between voucher recipients with access to automobiles and those without. Overall, the findings underscore the positive role of automobiles in outcomes for housing voucher participants

Waiting Room Health Promotion for Older Adults in Rural Primary Care

Background: Advances in health care technology have lead to adults living longer than in previous decades. Longer life expectancy in combination with the aging of the Baby Boomer generation is predicted to result in rapid and exponential growth among the older adult population. Adults in the U.S. over the age of 65 have on average five or more chronic illnesses, many of which are often poorly managed. Older adults who experience chronic diseases often report decreased quality of life, limitations in functional ability, loss of independence, and periods of decline and increasing disability. Health promotion efforts can help in delaying the onset of disability and preventing rapid decline associated with many chronic conditions. Purpose: The purpose of this project was to assess the effectiveness of the implementation of a brief waiting room health promotion activity that informs older adults about the benefits of walking, such as reducing the risk of chronic disease, improving mood, and maintaining weight, physical and cognitive function. This project took place at a federally qualified health center in Plainfield, Vermont. Methods: The target population for this educational intervention included patients, as well as family members and visitors to the primary care practice who were age 55 and older. All age-eligible participants were encouraged to participate regardless of health status or the presence of comorbid health conditions. The activity comprised of participants viewing a brief audiovisual educational activity explaining the health benefits of walking, supplemented with paper materials to support the health messages; the intervention was then followed by completion of a brief paper survey evaluation. Results: During the two-month period the health promotion activity was available, 56 individuals participated and completed the survey. Of the 56 participants, 87% indicated they either “strongly agreed” or “agreed” that watching the video increased knowledge about health-related benefits of walking. In total, approximately 73% of participants who participated in this health promotion activity agreed that they paid attention to educational materials in the waiting room setting. Approximately 57% of participants shared a health related goal that they created as a result of the health promotion activity. Conclusion: This project has suggested that implementation of waiting room health promotion activities, specifically for older adults, is a simple and cost-effective way to promote good health practices and provide patients with in-depth health care information that may not be addressed during the health care visit. Activities in the waiting room can help to supplement information provided during the clinical encounter, leaving patients more satisfied with their visits, and promoting positive behavior change

Surveying Persons with Disabilities: A Source Guide (Version 1)

As a collaborator with the Cornell Rehabilitation Research and Training Center on Disability Demographics and Statistics, Mathematica Policy Research, Inc. has been working on a project that identifies the strengths and limitations in existing disability data collection in both content and data collection methodology. The intended outcomes of this project include expanding and synthesizing knowledge of best practices and the extent existing data use those practices, informing the development of data enhancement options, and contributing to a more informed use of existing data. In an effort to provide the public with an up-to-date and easily accessible source of research on the methodological issues associated with surveying persons with disabilities, MPR has prepared a Source Guide of material related to this topic. The Source Guide contains 150 abstracts, summaries, and references, followed by a Subject Index, which cross references the sources from the Reference List under various subjects. The Source Guide is viewed as a “living document,” and will be periodically updated

Green Care: a Conceptual Framework. A Report of the Working Group on the Health Benefits of Green Care

‘Green Care’ is a range of activities that promotes physical and mental health and well-being through contact with nature. It utilises farms, gardens and other outdoor spaces as a therapeutic intervention for vulnerable adults and children. Green care includes care farming, therapeutic horticulture, animal assisted therapy and other nature-based approaches. These are now the subject of investigation by researchers from many different countries across the world

Physician-owned specialized facilities: focused factories or destructive competition?: a systematic review.

Multiple studies have investigated the business case of physician-owned specialized facilities (specialized hospitals and ambulatory surgery centers). However literature lacks integration. Building on the theoretical insights of disruptive innovation, a systematic review was conducted to assess the evidence base of these innovative delivery models. The Institute of Medicine’s quality framework (safe, effective, equitable, efficient, patient-centered and accessible care) was applied in order to evaluate the performance of such facilities. In addition the corresponding impact on full-service general hospitals was assessed. Database searches yielded 6,108 candidate articles of which 47 studies fulfilled the inclusion criteria. Overall the quality of the included studies was satisfactory. Our results show that little evidence exists in support of competitive advantages in favor of specialized facilities. Moreover even if competitive advantages exist, it is equally important to reflect on the corresponding impact on full service-general hospitals. The development of specialized facilities should therefore be monitored carefully

Prioritising Health in Mobility Planning:Assessing Health and co-benefits in European Sustainable Urban Mobility Plans

Transport can influence health both positively and negatively through various detrimental and beneficial pathways. Transport policies that promote health offer major environmental and economic co-benefits and are critical for achieving the United Nations Sustainable Development Goals. To date, few studies have empirically examined the degree to which health goals and outcomes have been incorporated into urban mobility plans. This work assesses how much health is addressed in current Sustainable Urban Mobility Plans (SUMPs), including the extent to which: i) health and its various aspects like health equity are highlighted, ii) transport pathways to health and their associated health outcomes are made explicit, and iii) health is operationalised into targets and KPIs and the health-rationale of various actions and measures is elaborated. A three-step method is used: i) developing a health dictionary and a policy analysis checklist, ii) conducting a quantitative text analysis on a dataset of 230 SUMPs, and iii) performing a detailed qualitative analysis of a purposive sample of 13 SUMPs across Europe. The findings show that while health is often touched upon, and its prominence seems to be increasing, SUMPs miss out on the opportunity to embrace mobility as a driver of health promotion. The link between transport and equity, and social and mental wellbeing is not frequently discussed. Detailed targets and key performance indicators (KPIs) for several health pathways are scarce or missing, as are the health rationale and health outcomes for proposed measures. Overwhelmingly SUMPs’ health aspirations are concerned with minimising detrimental impacts of transport on health, primarily from traffic injuries and to a lesser extent from air pollution. Health related concepts such as accessibility and active travel feature prominently but are not seen as an opportunity to enhance health. It is recommended to highlight the role of transport policy not only in reducing adverse health effects, but also as an opportunity for health enhancement.</div

A Multi-Vitamin for the Built Environment: Exploring how a Multi-Sectoral and Multi-Institutional Partnership Links Health and the BeltLine

The Atlanta BeltLine is an innovative redevelopment project re-shaping Atlanta residents’ access to, multi-use trails, parks, public transportation, housing and employment opportunities. The primary purpose of this project was to develop a research proposal to study and analyze the health benefits associated with multi-use trails within BeltLine communities. A secondary purpose of this project was to evaluate the multi-sectoral and multi-institutional partnership that was formed to develop the research proposal and study the influence of the BeltLine on health outcomes. In August 2010 representatives from the Centers for Disease Control and Prevention, Emory University, Georgia Institute of Technology, Georgia State University, the Atlanta BeltLine Inc. and the Atlanta BeltLine Partnership formed the BeltLine Health Proposal Committee. Two online surveys using Survey Monkey were conducted to evaluate how this committee was operating, if roles and responsibilities were clear and to determine if this committee was an effective mechanism to integrate health and the built environment. Findings from the survey indicated that committee members believed this group was a unique partnership comprised of dedicated professionals sharing a common interest. Survey findings indicated there were several challenges that needed attention including improving communication, resolving competing interests, and identifying a lead organization. Findings from this evaluation can help resolve these issues and help the committee transition into a Health Advisory Group. The Health Advisory Group will serve as formal body that will review research proposals, conduct research, leverage funding and disseminate key health findings related to the BeltLine

Human experience in the natural and built environment : implications for research policy and practice

22nd IAPS conference. Edited book of abstracts. 427 pp. University of Strathclyde, Sheffield and West of Scotland Publication. ISBN: 978-0-94-764988-3