Back to Annual Meeting Page		American Public Health Association 133rd Annual Meeting & Exposition December 10-14, 2005 Philadelphia, PA

Abstract #110324

Laura Anderko, RN PhD, Sally Lundeen, RN PhD, and Claudia Bartz, RN PhD. School of Nursing, University of Wisconsin-Milwaukee, Cunningham Hall 747, P.O. Box 413, Milwaukee, WI 53201, 414 229-2313, landerko@uwm.edu

Obesity is “particularly common” among low-income, culturally diverse populations and is cited by Healthy People 2010 as a major concern for the nation. There is a higher percentage of no leisure-time activity among women than men, among African Americans and Hispanics than Whites, and among less affluent. Populations traditionally served by community nursing centers (CNC) mirror this at-risk demographic. "Wellness for a Lifetime", a research study conducted by eight member CNCs of the Midwest Nursing Centers Consortium, a federally funded Practice-Based Research Network, utilized a 16-week multi-dimensional strategy to promote lifestyle changes specifically related to improving levels of physical activity and nutrition. One of 17 studies funded by the Robert Wood Johnson Foundation, this study was unique in its integration of a non-traditional model of primary care delivery that merged traditional medical management with community-based health promotion strategies. One of the main take home lessons from the study was an unanticipated one: “One Size Does Not Fit All” when delivering services within primary care settings, even when the settings are relatively homogeneous (e.g., all CNCs) or are similar in provider composition (e.g., advanced practice nurses). Overall, those CNCs using a more community-based, public health approach to recruitment and intervention strategies were much more successful in recruiting and retaining larger numbers of participants. This presentation will discuss specific findings related to the usefulness and feasibility of integrating a public health model within primary care settings, as well as policy implications.

Learning Objectives: At the conclusion of this session, the participant will

• Describe the three primary components of the "Prescriptive model for comprehensive community-based primary health care" (AKA Lundeen Model).
• Discuss research outcomes for the eight nursing centers in relation to its application of public health models of care using the Lundeen Model.
• List at least two policy recommendations based on study findings.

Keywords: Nurse Managed Centers, Community-Based Health Care

Presenting author's disclosure statement:

I wish to disclose that I have NO financial interests or other relationship with the manufactures of commercial products, suppliers of commercial services or commercial supporters.