Objectives: This research aimed to investigate the influence of peer educator delivered seminars to older adults on physical activity and exercise uptake, and whether improvements in activity levels and functional wellbeing follow. Design: Two part evaluation. Data are from a post-seminar survey that informed a process evaluation (Part 1 Seminar) and a non-controlled prospective investigation (...

COMMITTEE MEMBERS: Donna Austin, Director, Family Mediation Program, Lane County Paul Edison-Lahm, Multnomah County Family Court Facilitator Dr. Adam Furcher, PhD, Psychologist and Mediator, Portland Janice Garceau, LCSW, Director, Family Court Services, Multnomah County Kelly Lemarr, Attorney/Branch Manager, St. Andrew Legal Clinic, Washington County Jane Parisi-Mosher, MA, LMFT, Therapist, Me...

BACKGROUND Breastfeeding provides numerous health benefits for mothers and infants, but worldwide breastfeeding rates fall below recommendations. As part of efforts to increase breastfeeding initiation and duration, the World Health Organization and UNICEF UK recommend educational interventions to increase awareness and positive attitudes towards breastfeeding beginning during the school years....

OBJECTIVE To evaluate the implementation of an intervention to increase the delivery of adolescent preventive services within a large managed care organization. Target health areas were tobacco, alcohol, sexual behavior, and safety (seat belt and helmet use). DATA SOURCE/STUDY DESIGN Adolescent reports of clinician screening and counseling were obtained from adolescents who attended well visi...

OBJECTIVE To explore how primary care physicians respond to a community's needs and challenges. DESIGN Qualitative study using focus groups. SETTING Fee-for-service practices or community health centres in downtown Toronto, Ont. PARTICIPANTS Purposive sample of 21 community family physicians (10 women and 11 men). METHOD Participants were invited to join focus groups of four to six phys...

BACKGROUND Diabetic patients taking insulin often have suboptimal glucose control, and standard methods of health care delivery are ineffective in improving such control. This study was undertaken to determine if insulin adjustment according to advice provided by telephone by a diabetes nurse educator could lead to better glucose control, as indicated by level of glycated hemoglobin (HbA1c). ...

OBJECTIVE Peer-led outreach is a critical element of HIV and STI-reduction interventions aimed at sex workers. We study the association between peer-led outreach to sex workers and the time to utilize health facilities for timely STI syndromic-detection and treatment. Using data on the timing of peer-outreach interventions and clinic visits, we utilize an Extended Cox model to assess whether pe...

Urban Nulden and Christian Hardless Goteborg University, Sweden INTRODUCTION Teaching, tutoring and assessing students becomes radically different in a virtual learning environment than in a traditional classroom (Harasim, Hiltz et al., 1995; Hiltz and Wellman, 1997). The more activities that are ‘net-based,’ the more technology-based support is required for the educator. Computers free educato...