SPS 2017 Program SPS 2017 Program - Page 48

28. Population Health Screening Transformation: Pine Ridge Reservation Health Promotion Julia Mattingly, DNP, RN, APHN-BC Indiana University Southeast School of Nursing Background: The Lakota Sioux of the Pine Ridge Reservation in South Dakota experience numerous health disparities. Ac- cess to health care, including preventive care, is very limited for this population. Indiana University Southeast nursing stu- dents travel annually to the Pine Ridge Reservation to offer Health Promotion to the Lakota. This population health screening initiative focuses on primary and secondary preven- tion for Diabetes and Cardiovascular Disease. Adult screen- ings include blood pressure, blood glucose, total cholesterol, height, weight, and Body Mass Index. Participants in these screenings receive a handwritten copy of their results, pre- printed health education materials, and verbal health teach- ing with instructions on follow-up. 29. Technology Interventions to Increase Physical Activity in Allied Health Workers Emil J. Milas, DNP, FNP-C* 1 , Susan Halli-Demeter, DNP, FNP-BC 1,2 , Heather M. Ross, DNP, PhD 1 1 Arizona State University College of Nursing and Health Innovation, 2 Mayo Clinic, Phoenix, AZ Background: Physical inactivity correlates with a greater risk for obesity and is the fourth leading cause of death globally. Allied health workers have the second highest rate of obesity among all professions and one of the lowest rates of physical activity. Non-exercise activity thermogenesis (NEAT) encom- passes net energy spent throughout the day not including planned exercise, eating, or sleeping. NEAT is better at burn- ing total energy than planned exercise and is linked to better health. The purpose of this project was to implement an evi- denced based intervention to increase physical activity/NEAT 8-weeks among healthcare workers using telehealth technol- ogy based platforms in a community health center setting. Methods: Through technology provided by TeleMed 2020, the screening methodology at Pine Ridge will be transformed using a secure and real-time electronic data capture platform utilizing tablets and smart phones. The Enform® platform al- lows for creation of an electronic record for each participant and collection of data via Bluetooth enabled devices. Nursing student-users are able to access an e-library for teaching ma- terials, as well as decision trees which allow for evidence- based instruction on clinical follow-up and re-screening rec- ommendations. Participants receive a printed summary of their health promotion interaction and can have health re- minders sent to their mobile phones. Methods: Thirty-two allied health professionals and health center staff of a community health center assessed were as- sessed for BMI, blood pressure, and given two question- naires, one assessing readiness to engage in physical activity and one measuring subjective reporting of physical activity, and a Fitbit accelerometer. Text messages were pushed out starting at week-2, 3-4 times per week encouraging physical activity. Daily step data from the Fitbit was uploaded to a telehealth web platform to objectively track the amount of physical activity over the intervention period. Participants could engage in telehealth sessions for continued support around physical activity or nutrition during the 8-week intervention. Results: Implementation of the TeleMed 2020 Enform® platform at Pine Ridge offers many potential improvements, including automated data capture; increased frequency of participant follow-up; encouraging Lakota tribal members to be more engaged in their self-care; enabling data aggregation for longitudinal assessments and increasing operation effi- ciencies, including standardizing the student nurses’ health teaching and screening processes. Results: Technology interventions, overall, did not lead to participants becoming more physically active. There was a correlation (p <.048) between subjective reporting of physical activity and objective measurement of activity. For those par- ticipants who fully engaged in the technology and telehealth platforms, there was a trend in weight loss, systolic blood pressure control, and increases in physical activity. Conclusions: The purpose of this presentation will be to share impact, successes, challenges, and opportunities in transitioning from episodic to expanded population health promotion, including highlighting nursing student involve- ment and any cultural barriers experienced in the use of the platform with the Lakota. Conclusions: Wearable activity monitors and telehealth platforms …¸½‰©•Ñ¥Ù•±ä…¹…ÕɅѕ±ä…ÁÑÕɔÁ¡åÍ¥…°…Œ´)Ñ¥Ù¥Ñ丁A…ÉÑ¥¥Á…¹Ñ́ݥѠ¡¥¡•ÈÍ•±˜µ•™™¥…ä…É”µ½É”±¥­•±äÑ¼)µ…­”¡…¹•Ì…¹•¹…”¥¸É•Õ±…ȁA¸(ÌÀ¸ ɥѥ…° ½µµÕ¹¥…Ñ¥½¸Q½½°™½È)%µÁ±•µ•¹Ñ¥¹œ„Q•±•µ•‘¥¥¹”Aɽ٥‘•È))•ÍÍ¥„5¥±±•È° M8°I8)Õ¹‘•É͕¸!•…±Ñ MåÍѕ´) …­É½Õ¹èÕ¹‘•É͕¸!•…±Ñ MåÍѕ´¥Ì„½µÁɕ¡•¹Í¥Ù”)¡•…±Ñ¡…É”¹•Ñݽɬ¥¹±Õ‘¥¹œ½¹”½˜Ñ¡”¹…Ñ¥½¸Ì±…ɝ•ÍÐ(ÐàðA…