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[ Recorded presentation ] Recorded presentation

CBPR to reduce women's health disparities thru TANF study: Description and overview

Shawn M. Kneipp, PhD, ARNP1, Barbara Lutz, PhD, RN1, Deidre Pereira, PhD2, Allyson Hall, PhD2, Joan Flocks, JD3, Linda Beeber, PhD, RN4, Linda Villalaz1, Deirdra Means1, and LaShonte Thomas1. (1) College of Nursing, University of Florida, P.O. Box 100187, Gainesville, FL 32610, (352) 273-6410, skneipp@nursing.ufl.edu, (2) College of Public Health & Health Professions, University of Florida, PO Box 100185, Gainesville, FL 32611, (3) College of Law, University of Florida, PO Box 117629, Gainesville, FL 32611, (4) School of Nursing, University of North Carolina - Chapel Hill, Carrington Hall, CB# 7460, Chapel Hill, NC 27599-7460

The ideal model for public health nursing practice is one that is evidence-based and population-focused. To achieve this model, nurse scientists working in public health must contribute – through research – to the body of knowledge necessary to draw from in practice. Increasingly, community-based participatory research (CBPR) approaches for conducting research are gaining acceptance in the scientific community as a potential means for reducing the wide gaps in health disparities observed by socioeconomic status and/or race/ethnicity. This presentation describes an ongoing, 4-year study funded by the National Institute of Nursing Research using a CBPR approach to test a public health nursing intervention with women transitioning from Temporary Assistance to Needy Families (TANF, or ‘welfare') into employment, with the overall goal being to reduce health disparities. The study aims include:

1. To redesign the current Welfare Transition Program (WTP) clinical health screening tool so that it is culturally relevant, sensitive, and acceptable for use in testing the efficacy of a Welfare Participant Centered Health Program (WPCHP) using a participatory research methodology.

2. To test the efficacy of a WPCHP among women enrolled in WTPs in: a) increasing rates of voluntary screening, identification, and treatment for chronic health conditions, b) increasing ability to navigate the Medicaid system, c) improving functional and health status over time, and d) increasing employment duration among women with chronic health conditions using a participatory research methodology.

Select aspects of the study that reflect the CBPR methodology will be emphasized, including the use of the Green et al. guidelines to develop the study approach, the engagement of community members via the Research Work Group and Community Advisory Group, and strategies adopted for ‘giving back' to the community at large.

Learning Objectives:

Keywords: Health Disparities, Evidence Based Practice

Presenting author's disclosure statement:

Any relevant financial relationships? No

[ Recorded presentation ] Recorded presentation

Evidenced-based Population-Focused Practice

The 134th Annual Meeting & Exposition (November 4-8, 2006) of APHA