e-care we CARE Center of Excellence Empowering Minority Communities with Health Information

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Warren Ryan
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2008 ehealth Conference for HBCUs and Communities Taking Action through ehealth Resources e-care we CARE Center of Excellence Empowering Minority Communities with Health Information E-CARE Team -

1 2008 ehealth Conference for HBCUs and Communities Taking Action through ehealth Resources e-care we CARE Center of Excellence Empowering Minority Communities with Health Information E-CARE Team - School of the Health sciences Winston Salem State University, North Carolina Hamdy Radwan, PT, PhD Professor of Physical Therapy, Team Leader Darlene Perez-Brown, PhD, OT/R Clinical Associate Professor of Occupational Therapy Bobbie Reddick, RN, EdD Professor of Nursing

3 Background Minority groups have a higher incidence of chronic conditions compared to the general population. Lack of education about disease processes always cited as one of the main reasons for health disparities. There is an abundance of health care information available on the World Wide Web, however, the utilization of this information is limited due to lack of resources, poor socio-economic status, and education levels

4 Purpose The purpose of this study was twofold: 1. to design an e-health e intervention program to increase access to reliable health information. 2. to evaluate the outcome of this intervention in promoting healthier life styles.

5 Interdisciplinary Team e-care Team Hamdy Radwan, Team Leader, Physical Therapy Darlene Perez-Brown, Occupational Therapy Bobbie Reddick, Nursing Students Other Faculty Members

6 Purpose of e-care e Project The purpose of this project is to promote the accessibility and dissemination of reliable e-health e information to minority groups.

7 Project Description to use e-health e Health information to increase awareness of risk factors for diseases that affect underserved populations health and well being and to increase the use of e-e Health information for making informed decisions about personal health.

8 Project Description The e-health e Health project consists of training an interdisciplinary core group of faculty and students on accessing reliable e-e health information in order to educate the local surrounding community on utilizing the Internet services sponsored by the NLM to improve the health and well being of underserved groups in Winston-Salem, NC.

9 e-care Center: Mission Focus on e-health e Education Train and educate students, faculty from the SOHS and volunteers on how to access and utilize credible and reliable e-health e information available through the worldwide web. Workshops Courses Curriculum

10 e-care Center: Mission e-health Intervention: students, faculty, community volunteers will educate and train the larger community or a targeted population on health related issues on main chronic conditions. Community Centers. City Clinics or similar projects e-clinic

11 e-care Center Organizational Chart and Future Expansion Advisory Board e-care Center Hamdy Radwan Darlene Perez-Brown Bobbie Reddick Heart Diseases Diabetes Obesity Cancer HIV/AIDS STD

12 e-health As An Adjunct to Patient Health Care To obtain valid and reliable information To assess health risks To provide strategies for managing a chronic condition To explore options for treatment programs To consult a health care provider without leaving home

13 Internet Use for Health Info 80% of US citizens - searched one or more of 16 major health topics Recent survey conducted by physical therapy students revealed only 24% of Forsyth County residents utilize the Internet for health information

14 Who goes online for Health Info Women are more likely than men (85%) Consider multiple health topics Searched health topics on an as needed basis for someone else 6% only searches on a daily basis Visit disease situation specific sites for either info or support Seniors go on line to communicate with grandchildren

15 Internet as a Part of Everyday Life Communication with health care professionals Education Work preparation Volunteer Exploration

16 Questions that we should think about What is the effect of e-health e applications on health? What is the effect of e-health e applications on the health system? What are the most difficult barriers to e-health? What are strategies for addressing these barriers? What role does/can/will e-health e play in having fairer world for health?

17 e-care Project - Method 1. Obtained IRB Approval 2. Facility Consent Form 3. Participant Consent Form 4. Pre-Test/Post Test/Post-Test 5. Direct Observation Form

18 Training Faculty and Community Volunteer

19 Training Faculty and community volunteer

20 Community Training at Community Knowledge Centers

21 Community Training at Community Knowledge Centers

22 Community Training at Community Knowledge Centers

24 First Website (

25 First Website (

26 Objectives 120 community participated in training sessions on the use of the e-e Health information and be able to demonstrate competency in accessing NLM resources through the e-care e website.

27 Comments Name Health Behavior that will improve your health Increase physical activity Lose Weight Exercise on regular bases Watch diet Be more active

28 Comments Name one risk factor that you will eliminate to improve your health Fat food in the diet Sugar in the diet Less coffee Eat regular meals Sedentary lifestyle

29 I have learned the following Risk Factors Obesity, weight Smoking Poor diet Lack of exercise Salt Blood Pressure High Cholesterol

30 I am committed to change the following behavior Immediately Increase Activity Healthier Diet Lose Weight Check Blood Sugar Decrease Fat Food Check Cholesterol Change Eating habits Check (Monitor) Blood Pressure Check the Condition of My Feet Manage stress

31 I am committed to change the following behavior Within Months Lose Weight Manage Diet Manage Weight Manage Stress Increase Exercise Get Enough Sleep Decrease Blood Pressure Talk to My Doctor

32 Unintended Goals OT Students Research Projects PT Students Research Projects Case Assignment Clinical Education Course Research based assignments Nursing students Participation

33 Unintended Goals Requests from several faculty members to use in courses they teach Requests to expand on the material offered in the website, for examples arthritis, back and neck pain, dementia and Alzheimer Request to establish e-clinic e Clinic at the free community clinics

34 Website Updates

35 Website Updates

36 Presenting the Project Nationally Several presentations at WSSU e-care Team: An Example of Interdisciplinary Team Work, Winston Salem, NC May 15, 2008 The Access and Use of Internet Breast Cancer Information by African American Women. AOTA Annual Conference and Expo, St. Louis, MO, April 20-23, 23, 2007 A Campus and Community-Based e-health e Program: Increasing e-health e Literacy and Improving Health Behaviors. Bethesda, MD, 2007

37 & Internationally Egypt: April, 2008 Costa Rica: November, 2007 Uganda: July, 2007 Egypt: September, 2006, Egypt: June, 2005,

38 Sustainability School of Health Sciences Strategic Priority Center of Health Disparity Community Awareness Recruiting faculty and students to participate, evaluate and utilize e-caree CARE

39 Sustainability Grants NIH: 2 years for $70, Increasing e-health e Literacy to Decrease Health Disparities: e-care e Project. Funded DoD: : 5 years for $850, e-care Clinics at HBCUs to Reduce the Incidence of Breast Cancer. Pending

40 e-care Team School of Health Sciences Winston Salem State University

Establishing Student Directed Occupational Therapy Services at IU Student Outreach Clinic

Indiana University School of Health and Rehabilitation Sciences Establishing Student Directed Occupational Therapy Services at IU Student Outreach Clinic Learning in the Changing Health Care Market Department