Building a Sustainable Comprehensive Women's Health Program: The Michigan Model

The Women's Health Program at the University of Michigan was established in 1993 and has developed into a successful, federally supported program that links clinical research and education activities across the University. It has focused on human resource capacity building, sustainable financial support and infrastructure, and adaptability to change and opportunities. Widely accepted standards, demonstrated value, committed leaders/champions, and participatory culture have contributed to its success and are important to its future.Peer Reviewedhttp://deepblue.lib.umich.edu/bitstream/2027.42/63102/1/jwh.2006.0192.pd

Colorectal Cancer Screening Compliance and Contemplation in Gynecology Patients

Abstract Objective: Colorectal cancer screening (CRCS) should be a necessary part of gynecology (GYN) providers' preventive practices. The purpose of our study is to examine CRCS recommendations and adherence in this population. Methods: A questionnaire was administered to a prospective cohort of patients awaiting health maintenance exams at six academic and private gynecology offices. Patients reported demographics, CRC/breast/cervical screening adherence, CRCS recommendations, and future likelihood of CRCS. Results: A total of 461 women aged 51 years and older completed the questionnaire. Sixty-six percent of respondents were compliant with CRCS compared to 93% and 86% for breast and cervical cancer screening, respectively (p?<?0.001). GYN providers recommended CRCS in 43% of patients. Sixty-three percent were planning to undergo future CRCS. On multivariable analysis, characteristics associated with CRCS adherence included (odds ratio, 95% confidence interval): older age (1.1 per year, 1.1?1.2), previous mammography (3.7, 1.4?9.7), family history (FH) of CRC/polyps (1.9, 1.0?3.4), friend with CRC (2.6, 1.5?4.7), and any doctor recommending CRCS (8.2, 4.6?14.7). CRCS rates were higher among patients who received a recommendation from a PCP (primary care provider) than from a GYN provider. Factors associated with intention to undergo CRCS include previous mammography (1.4, 4.2?12.0), any doctor recommendation (6.4, 3.7?11.0), and FH of CRC/polyps (3.5, 1.9?6.3). CRCS recommendations by both GYNs and PCPs had a greater impact on CRCS contemplation than those from a PCP or GYN alone. Conclusion: In gynecology patients, having multiple providers recommend CRCS increases the likelihood of patients' intentions to undergo CRCS. However, CRCS compliance is primarily driven solely by PCP recommendations. Regardless, strategies must be in place to prompt gynecologists and nurse practitioners to discuss CRCS in eligible patients.Peer Reviewedhttp://deepblue.lib.umich.edu/bitstream/2027.42/85091/1/jwh_2009_1479.pd

What would make children read for pleasure more frequently?

© 2017 National Association for the Teaching of English Regular recreational reading offers benefits across a range of literacy outcomes, as well as supporting learning in other subject areas, offering cognitive benefits, and potentially fostering empathy. Therefore, increasing frequency of engagement in recreational reading can play an important role in addressing inequity in literacy outcomes once independent reading skill has been achieved. While previous studies address how to increase children's engagement in reading for recreation, few allow children's viewpoints to take primacy. The 2016 Western Australian Study in Children's Book Reading collected data from respondents across 24 schools, seeking to determine how educators and parents may best support young people to read with greater frequency. Interview participants from Years 4 and 6 were asked what would make them read more. The five recurring themes of finding engaging books, series adherence, challenge seeking, skill deficit, and time availability indicate optimal avenues for future research and educational intervention to foster increased engagement in reading