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 . Access to health care , including preventive care , is very limited for this population . Indiana University Southeast nursing students travel annually to the Pine Ridge Reservation to offer Health Promotion to the Lakota . This population health screening initiative focuses on primary and secondary prevention for Diabetes and Cardiovascular Disease . Adult screenings include blood pressure , blood glucose , total cholesterol , height , weight , and Body Mass Index . Participants in these screenings receive a handwritten copy of their results , preprinted health education materials , and verbal health teaching with instructions on follow-up .
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 allows 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 materials , as well as decision trees which allow for evidencebased instruction on clinical follow-up and re-screening recommendations . Participants receive a printed summary of their health promotion interaction and can have health reminders sent to their mobile phones .
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 efficiencies , including standardizing the student nurses ’ health teaching and screening processes .
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 involvement and any cultural barriers experienced in the use of the platform with the Lakota .
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 ) encompasses net energy spent throughout the day not including planned exercise , eating , or sleeping . NEAT is better at burning total energy than planned exercise and is linked to better health . The purpose of this project was to implement an evidenced based intervention to increase physical activity / NEAT 8-weeks among healthcare workers using telehealth technology based platforms in a community health center setting .
Methods : Thirty-two allied health professionals and health center staff of a community health center assessed were assessed for BMI , blood pressure , and given two questionnaires , 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 : 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 participants 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 : Wearable activity monitors and telehealth platforms can objectively and accurately capture physical activity . Participants with higher self-efficacy are more likely to make changes and engage in regular PA .
30 . Critical Communication Tool for Implementing a Telemedicine Provider
Jessica Miller , BSN , RN Gundersen Health System
Background : Gundersen Health System is a comprehensive healthcare network including one of the nation ' s largest
48 | Page
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
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