<br><strong>An Examination of Factors Affecting State Legislators’ Support for Parity Laws for Different Mental Illnesses</strong> (Links to an external site)

Mental health parity legislation can improve mental health outcomes. U.S. state legislators determine whether state parity laws are adopted, making it critical to assess factors affecting policy support. This study examines the prevalence and demographic correlates of legislators’ support for state parity laws for four mental illnesses- major depression disorder, post-traumatic stress disorder (PTSD), schizophrenia, […]

This study investigates the implementation of school health policies through a health equity lens (Links to an external site)

Abstract Background: School-based policies that ensure provision of nutrition, physical activity, and other health-promoting resources and opportunities are essential in mitigating health disparities among underserved populations. Measuring the implementation of such policies is imperative to bridge the gap between policy and practice. Unfortunately, limited practical, psychometrically strong measures of school policy implementation exist. Few available explicitly […]

New PRC study shows that shifting leadership priorities to emphasize effectiveness results in the largest reduction of misimplementation in U.S. state health departments. (Links to an external site)

Abstract Introduction: The research goal of this study is to explore why misimplementation occurs in public health agencies and how it can be reduced. Misimplementation is ending effective activities prematurely or continuing ineffective ones, which contributes to wasted resources and suboptimal health outcomes. Methods: The study team created an agent-based model that represents how information flow, filtered […]

Student Spotlight: Leah Nason

Hometown: Williamsport, PennsylvaniaUndergraduate school and major/minor: University of Rochester – B.S. Brain and Cognitive Sciences and B.A. Health, Behavior, and SocietyProgram at Brown: MPH/MSWAnticipated graduation date: May 2023Three things you have with you at all times: In an ideal world, a cat, a camera, and a giant mug of Earl Grey tea. What are your […]

Findings in PRC Study highlight the need for multilevel interventions to address physical across multiple domains in rural communities, especially among females and older adults (Links to an external site)

Abstract Background: Increasing physical activity (PA) in rural communities is a vital prevention tactic in multiple chronic diseases; however, little is known on the multilevel correlates of PA rural areas. A better understanding of domain-specific PA adds context for promoting PA in rural communities. The current study sought to determine factors associated with domain-specific and overall […]

Impacts of a Workplace-Based Weight-Control Intervention on Objective and Perceived Physical Activity among a Subgroup of Workers (Links to an external site)

Abstract Physical activity (PA) has many benefits; however, groups facing barriers to health-promoting behaviors are less likely to be physically active. This may be addressed through workplace interventions. The current study employs objective (accelerometry) and perceived (International Physical Activity Questionnaire [IPAQ]) measures of PA among a subset of participants from the “Working for You” study, […]

Maura Kepper co-chaired the recent Rural Health Symposium that helps build “stronger collaborations in broader communities” (Links to an external site)

“One of the best parts of this event was the diversity in the attendees,” said co-Chair, Maura Kepper, PhD, a research assistant professor at WashU’s Brown School. “Bringing together academics and practitioners from diverse communities across Missouri allowed for difficult yet necessary discussions to improve rural health using digital approaches.” Maura Kepper

Speeding Implementation in Cancer: The National Cancer Institute’s Implementation Science in Cancer Control Centers

Abstract The National Cancer Institute’s (NCI) Implementation Science in Cancer Control Centers (ISC3) Network represents a large-scale initiative to create an infrastructure to support and enable the efficient, effective, and equitable translation of approaches and evidence-based treatments to reduce cancer risk and improve outcomes. This Cancer Moonshot funded ISC3 Network consists of seven P50 Centers […]

Practices Among Local Public Health Agencies to Support Evidence-Based Decision Making

Abstract Objectives: Evidence-based decision making (EBDM) capacity in local public health departments is foundational to meeting both organizational and individual competencies and fulfilling expanded roles. In addition to on-the-job training, organizational supports are needed to prepare staff; yet, less is known in this area. This qualitative study explores supportive management practices instituted as part of a […]

Examining the Associations of and Interactions Between Intrapersonal and Perceived Environmental Factors With Objectively Assessed Physical Activity Among Rural Midwestern Adults, USA

Abstract Purpose: We investigated associations of intrapersonal and environmental factors with objectively assessed weekly moderate to vigorous physical activity (MVPA) minutes, and their interactions in rural adults. Design: Cross-sectional. Setting: 14 rural towns participating in a multilevel intervention to promote physical activity. Sample: Baseline data from 241 rural community members (19% losses due to missing data). Measures: Self-reported demographics, behavioral […]

PRC Study identifies the important qualities of leadership in preventing mis-implementation of public health programs. (Links to an external site)

Abstract Public health agencies are increasingly concerned with ensuring that they are maximizing limited resources by delivering effective programs to enhance population-level health outcomes. Preventing mis-implementation (ending effective activities prematurely or continuing ineffective ones) is necessary to sustain public health efforts and resources needed to improve health and well-being. The purpose of this paper is […]

PRC Researchers Examine Program Adaptation by U.S. State Health Departments in New Study (Links to an external site)

Abstract Introduction: The dissemination of evidence-based interventions (i.e., programs, practices, and policies) is a core function of US state health departments (SHDs). However, interventions are originally designed and tested with a specific population and context. Hence, adapting the intervention to meet the real-world circumstances and population’s needs can increase the likelihood of achieving the expected health […]

Does the neighborhood built environment moderate the effectiveness of a weight-loss intervention for mothers with overweight or obesity? Findings from the Healthy Eating and Active Living Taught at Home (HEALTH) study (Links to an external site)

Background: Women of childbearing age are vulnerable to weight gain and experience a high prevalence of obesity due to pregnancy and stressors of parenthood. Lifestyle interventions such as the Healthy Eating and Active Living Taught at Home (HEALTH) study have been effective for weight loss; however, little is known about how the built environment (parks, transit, […]

Parra Perez Coordinates Network to Bolster Neighborhood Resilience During COVID

The Building Resilient Inclusive Communities (BRIC) has helped people in low-resource neighborhoods combat the social isolation, lack of physical activity, and food insecurity that intensified during the COVID-19 pandemic. Parra Perez has coordinated the BRIC project to help to fund projects like community gardens, safer streets, and reconnecting seniors with their communities. 

Leading the way: competencies of leadership to prevent mis-implementation of public health programs (Links to an external site)

Abstract Public health agencies are increasingly concerned with ensuring that they are maximizing limited resources by delivering effective programs to enhance population-level health outcomes. Preventing mis-implementation (ending effective activities prematurely or continuing ineffective ones) is necessary to sustain public health efforts and resources needed to improve health and well-being. The purpose of this paper is […]

Amy Eyler appointed to the Brown School Dean Search Committee (Links to an external site)

Chancellor Andrew D. Martin and Provost Beverly Wendland have appointed a 13-member committee to identify candidates for the position of dean of the Brown School at Washington University in St. Louis. Amy Eyler, professor and chair of the Faculty Senate Council at the Brown School, has been newly appointed to the Brown School Dean Search […]

Multisector Collaboration for Delivering Cancer Control Interventions in Rural Communities (Links to an external site)

Abstract Purpose and objectives: Multisector collaboration is a widely promoted strategy to increase equitable availability, access, and use of healthy foods, safe places for physical activity, social supports, and preventive health care services. Yet fewer studies and resources exist for collaboration among governmental and nongovernmental agencies to address public problems in rural areas, despite an excess […]

The Adoption of Social Determinants of Health Documentation in Clinical Settings (Links to an external site)

Objective: To understand the frequency of social determinants of health (SDOH) diagnosis codes (Z-codes) within the electronic health record (EHR) for patients with prediabetes and diabetes and examine factors influencing the adoption of SDOH documentation in clinical care. Study design: An explanatory sequential mixed methods design first examined the use of Z-codes within the EHR and qualitatively […]

Recent work by PRC researcher, Stephanie Mazucca, on state health department ineffective Programs is featured in Implementation Science News (Links to an external site)

BACKGROUND: Mis-implementation, the inappropriate continuation of programs or policies that are not evidence-based or the inappropriate termination of evidence-based programs and policies, can lead to the inefficient use of scarce resources in public health agencies and decrease the ability of these agencies to deliver effective programs and improve population health. Little is known about why […]

Network analysis useful in real-world applications for practitioners, study finds (Links to an external site)

A network survey among agencies that address cancer risk in rural Missouri and Illinois, conducted by the Brown School and School of Medicine’s Implementation Science Center for Cancer Control, was found to be useful in helping those practitioners identify gaps, plan for how to establish future relationships and strengthen collaboration.

Maura Kepper’s Project Adapts a new Digital Health Tool called PREVENT to Help Patients Overcome Barriers to Healthy Behaviors

Because low-income residents in rural areas often face greater barriers to achieving healthy behaviors and reduced cancer risk, it is critical that we provide care tailored to their needs. Digital tools have the ability to support health care teams in delivering targeted behavior counseling and other necessary resources for sustaining good health. Maura Kepper, PHD, […]

Student Spotlight: Audrey Toler

Hometown: Oxford, Mississippi Undergraduate school and major/minor: University of Mississippi – Psychology major and chemistry minor Program at Brown: MPH Anticipated graduation date: May 2022 What are three things you have with you at all times: Nalgene water bottle, Burt’s Bees chapstick, Pilot Precise V5 pen What are your hobbies or activities when you aren’t […]

Study led by PRC Researcher, Deborah Salvo, finds that implementing high discounts on the cost of vegetables, or jointly increasing geographic and economic access to mobile markets or farm stands, can increase vegetable intake among low-income groups. (Links to an external site)

Abstract Modifying the food environment of cities is a promising strategy for improving dietary behaviors, but using traditional empirical methods to test the effectiveness of these strategies remains challenging. We developed an agent-based model to simulate the food environment of Austin, Texas, USA, and to test the impact of different food access policies on vegetable […]

PRC Researchers Explored Parent Perception of Children’s Physical Activity and Screen Time During COVID-19 Stay-at-home Orders in Featured Study. (Links to an external site)

Objective: In this study, we explore parent perception of children’s physical activity and screen time during COVID-19 stay-at-home orders. Methods: We interviewed 16 parents of children ages 5-12 years in the St. Louis, Missouri region using snowball sampling. We sampled from rural, urban, and suburban areas. The interviews were recorded, transcribed, and analyzed using a priori and emergent codes. […]

Ross C. Brownson Presents Framework for Implementing Strategic Public Health Science (Links to an external site)

Dr. Brownson’s published work introduces implementing strategic public health science in a Push–Pull–Capacity Framework. This model posits that for science to affect practice, there must be a combination of the push (a basis in science and technology), the pull (a market demand from practitioners), and the capacity (the delivery ability of public health and health […]