scholarly journals ROLE OF SOCIAL DETERMINANTS OF HEALTH IN PSYCHOLOGICAL DISTRESS AND READINESS FOR ONLINE LEARNING AMONG COLLEGE FILIPINO STUDENTS DURING THE COVID-19 PANDEMIC: A PILOT STUDY

Author(s):  
Rey Jan Pusta

Due to the COVID-19 pandemic, educational institutions in the Philippines rapidly introduced widespread online learning to ensure safety of learners. The purpose of this study was to explore the possible relationship of social determinants of health with COVID-19 specific psychological distress and the readiness of Filipino students to learn online. Researchers conducted an online survey of 30 college students from the Psychology program of Ateneo de Davao University in Davao City, Philippines. Results showed that students experienced mild (53.3%) to severe (36.7%) levels of COVID-19 specific psychological distress. COVID-19 specific psychological distress and readiness for online learning was not significantly correlated, r (30) = -.18, p = .35. Among social determinants of health, only living with family members was significantly associated with readiness for online learning, r (30) = -.37, p = .046. These findings showed promising findings on how social determinants of health may be associated with distress and online learner readiness during a global pandemic. Future studies may elaborate on the subjective experiences of students. Finally, this pilot study serves as a basis for the development of school programs that address students’ mental health and promote online learning readiness of students who are experiencing unique learning circumstances.

2021 ◽  
Author(s):  
Edward Tsai ◽  
Peg Allen ◽  
Louise F Saliba ◽  
Ross C Brownson

Abstract Background Multisector collaboration between state health departments (SHDs) and diverse community partners is increasingly recognized as important for promoting positive public health outcomes, addressing social determinants of health, and reducing health inequalities. This study investigates collaborations between SHDs and different types of organizations addressing chronic disease in and outside of the health sector. Methods SHD employees were randomly selected from the National Association of Chronic Disease Directors membership list for participation in an online survey. Participants were asked about their primary chronic disease work unit (cancer, obesity, tobacco, diabetes, cardiovascular disease, and others), as well as their work unit collaborations (exchange of information/cooperation in activities) with organizations in health and non-health sectors. As a measure of the different organizations SHDs collaborated with in health and non-health sectors, a collaboration heterogeneity score for each program area was calculated. One-way ANOVA with Tukey’s post hoc tests were used to assess differences in collaborator heterogeneity between program areas. Results A total of 574 participants were surveyed. Results indicated the cancer program area, along with diabetes and cardiovascular disease, had significantly less collaboration heterogeneity with organizations outside of the health sector compared to the obesity and tobacco program areas. Conclusions Evidence suggests that to address social determinants of health and promote health equity, increased public health collaborations with diverse non-health sector community-based settings is critical.


2019 ◽  
Vol 6 ◽  
pp. 237428951988487 ◽  
Author(s):  
Jill S. Warrington ◽  
Nick Lovejoy ◽  
Jamie Brandon ◽  
Keith Lavoie ◽  
Chris Powell

As the opioid crisis continues to have devastating consequences for our communities, families, and patients, innovative approaches are necessary to augment clinical care and the management of patients with opioid use disorders. As stewards of health analytic data, laboratories are uniquely poised to approach the opioid crisis differently. With this pilot study, we aimed to bridge laboratory data with social determinants of health data, which are known to influence morbidity and mortality of patients with substance use disorders. For the purpose of this pilot study, we focused on the co-use of opioids and benzodiazepines, which can lead to an increased risk of fatal opioid-related overdoses and increased utilization of acute care. Using the laboratory finding of the copresence of benzodiazepines and opioids as the primary outcome measure, we examined social determinants of health attributes that predict co-use. We found that the provider practice that ordered the laboratory result is the primary predictor of co-use. Increasing age was also predictive of co-use. Further, co-use is highly prevalent in specific geographic areas or “hotspots.” The prominent geographic distribution of co-use suggests that targeted educational initiatives may benefit the communities in which co-use is prevalent. This study exemplifies the Clinical Lab 2.0 approach by leveraging laboratory data to gain insights into the overall health of the patient.


BMJ Open ◽  
2017 ◽  
Vol 7 (10) ◽  
pp. e015947 ◽  
Author(s):  
Anjana Aery ◽  
Anne Rucchetto ◽  
Alexander Singer ◽  
Gayle Halas ◽  
Gary Bloch ◽  
...  

ObjectivesAddressing the social determinants of health has been identified as crucial to reducing health inequities. However, few evidence-based interventions exist. This study emerges from an ongoing collaboration between physicians, researchers and a financial literacy organisation. Our study will answer the following: Is an online tool that improves access to financial benefits feasible and acceptable? Can such a tool be integrated into clinical workflow? What are patient perspectives on the tool and what is the short-term impact on access to benefits?MethodsAn advisory group made up of patients living on low incomes and representatives from community agencies supports this study. We will recruit three primary care sites in Toronto, Ontario and three in Winnipeg, Manitoba that serve low-income communities. We will introduce clinicians to screening for poverty and how benefits can increase income. Health providers will be encouraged to use the tool with any patient seen. The health provider and patient will complete the online tool together, generating a tailored list of benefits and resources to assist with obtaining these benefits. A brief survey on this experience will be administered to patients after they complete the tool, as well as a request to contact them in 1 month. Those who agree to be contacted will be interviewed on whether the intervention improved access to financial benefits. We will also administer an online survey to providers and conduct focus groups at each site.Ethics and disseminationKey ethical concerns include that patients may feel discomfort when being asked about their financial situation, may feel obliged to complete the tool and may have their expectations falsely raised about receiving benefits. Providers will be trained to address each of these concerns. We will share our findings with providers and policy-makers interested in addressing the social determinants of health within healthcare settings.Trial registration numberClinicaltrials.gov:NCT02959866. Registered 7 November 2016. Retrospectively registered. Pre-results.


2020 ◽  
Vol 11 (2) ◽  
pp. 74-89
Author(s):  
Kyle L Thompson ◽  
Melissa Gutschall ◽  
Amanda Bliss ◽  
Grace Herman ◽  
Madison Zimmerman ◽  
...  

Introduction: Given that nutrition status is directly related to a variety of health outcomes, nutrition screening is a prime focus of public health nutrition practice.  Objectives: The purposes of this pilot study were to develop and pilot test a Rural Adult Nutrition Screen (RANS) that includes criteria addressing social determinants of health and to explore possible applications of the screen development methodology in other settings. Methods: Mixed-methods research including interviews and survey dissemination was conducted among a rural southern Appalachian population in the United States.  Themes identified in the research were used to construct a preliminary rural adult nutrition screen (RANS-1).  The RANS-1 was pilot-tested among a sample of community-dwelling rural residents (n = 83), and was revised based on participant, administrator, and nutrition practitioner comments.  The revised screen, the RANS, was pilot-tested among a sample of attendees of a free community medical clinic (n = 37).   Nutrition risk as determined by the RANS was compared with the Nutrition Triage Score of the Patient-Generated Subjective Global Assessment (PG-SGA), the United States Department of Agriculture 6-item Household Food Security Survey Module (USDA-6), and nutrition assessment performed by a Registered Dietitian Nutritionist who was also credentialed as a Physician Assistant (RDN, PA).  Non-parametric statistical tests were used to compare the results of the PG-SGA NTS and the USDA-6 with the RANS regarding “at risk” and “low risk” status. Results: In this small pilot study, no statistically significant differences were found among either comparative instrument and the RANS in determination of “at risk” and “low risk” status.  The RDN, PA’s agreement with the RANS was 100%.  Conclusion:  This pilot study provides some evidence that the RANS may be used to screen rural, community-dwelling adults for nutrition needs in light of social determinants of health common in rural settings.  Further research and formal validation of the RANS are needed in order to establish this tool as a valid nutrition screen for use in the rural community setting.  Procedures used to develop the RANS may be applicable to the development of population-specific nutrition screens in other rural and urban global populations.


2018 ◽  
Vol 32 (4) ◽  
pp. 505-508 ◽  
Author(s):  
Sandra D. Lane ◽  
Robert H. Keefe ◽  
Robert A. Rubinstein ◽  
Meghan Hall ◽  
Kathleen A. Kelly ◽  
...  

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