Breaking Barriers: An Innovative Tool to Assess the National and City-Level Physical Activity Policy Development to Practice Disconnect

The study “Breaking Barriers: An Innovative Tool to Assess the National and City-Level Physical Activity Policy Development to Practice Disconnect” introduces a novel tool, INTEGRATE PA-Pol, designed to assess how national and subnational governments collaborate on physical activity promotion policies. This research focuses on understanding the development, implementation, and alignment of these policies between different […]

Shaping Policy and Practice: Analyzing the Reach of Highly Cited and High Altmetrics Publications for Broader Impact on Physical Activity (Links to an external site)

Abstract Background: A significant gap remains between the availability of physical activity (PA) evidence-based interventions and their application in real-world settings in policy and practice areas. This study aims to describe highly cited and high altmetrics publications in PA research and explore their impact on PA policy and practice. Methods: Mixed-methods sequential explanatory study including the identification […]

Integrating a focus on health equity in implementation science: Case examples from the national cancer institute’s implementation science in cancer control centers (ISC3) network (Links to an external site)

Abstract Background: A Health Equity Task Force (HETF) of members from seven Centers funded by the National Cancer Institute’s (NCI) Implementation Science in Cancer Control Centers (ISC3) network sought to identify case examples of how Centers were applying a focus on health equity in implementation science to inform future research and capacity-building efforts. Methods: HETF members at […]

Advancing the Science and Application of Implementation Science to Promote Health Equity: Commentary on the Symposium (Links to an external site)

Abstract There has been an increasing focus on making health equity a more explicit and foundational aspect of the research being conducted in public health and implementation science. This commentary provides an overview of five reviews in this Annual Review of Public Health symposium on Implementation Science and Health Equity. These articles reflect on and advance the […]

WashU & Parents as Teachers community-academic partnership benefits families “where they are” (Links to an external site)

WashU Research Associate Professor, Rachel Tabak PhD, and Senior Vice President and Chief Research Officer of Parents as Teachers National Center (PATNC), Allison Kemner, MPH, work together in a community-academic partnership that benefits families while advancing the field of dissemination and implementation science.

Perspectives From Public Health Practitioners and Advocates on Community Development for Active Living: What are the Lasting Impacts?

Abstract Purpose: Evidence suggests differential impacts of community development, including gentrification and displacement. Public health practitioners and advocates are key stakeholders involved in the community development process related to active living, yet little is known about their perceptions of its impacts. We explored the perspectives of relevant leaders of public health departments and key community and […]

Perspectives From Public Health Practitioners and Advocates on Community Development for Active Living: What are the Lasting Impacts? (Links to an external site)

Abstract Purpose: Evidence suggests differential impacts of community development, including gentrification and displacement. Public health practitioners and advocates are key stakeholders involved in the community development process related to active living, yet little is known about their perceptions of its impacts. We explored the perspectives of relevant leaders of public health departments and key community and […]

More Work Needed to Improve Equity Focus in Public Health Departments

A new study by researchers at the Prevention Research Center at Washington University in St. Louis and the National Association of Chronic Disease Directors (NACDD) surveyed public health departments in the U.S. to understand current health equity-related work practices and identify ways to bolster equity-focused work in chronic disease prevention and control efforts. Recently published […]

Implementation of Flexibilities to the National School Lunch and Breakfast Programs and Their Impact on Schools in Missouri (Links to an external site)

Abstract Background: While technology advances have increased the popularity of remote interventions in underserved and rural cancer communities, less is understood about technology access and preferences for home-based physical activity programs in this cancer survivor population. Purpose: To determine access, preferences, and needs, for a home-based physical activity program in rural cancer survivors. Methods: A Qualtrics Research Panel […]

Exploring University and Healthcare Workers’ Physical Activity, Diet, and Well-Being During the COVID-19 Pandemic (Links to an external site)

Abstract Background: The COVID-19 pandemic affected well-being and health behaviors, especially among healthcare workers and employees in other fields. This is of public health concern because health behaviors and well-being influence long-term negative health outcomes. The purpose of this study was to explore health behaviors and well-being among university and medical center staff during COVID-19. Methods: EMPOWER […]

PRC Study examines the adoption of social determinants of health documentation in clinical settings (Links to an external site)

Abstract 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. Data sources: EHR data and qualitative interviews with health care providers and stakeholders. Study design: An explanatory sequential mixed […]

Study Explores the Perspectives of Adults Aging With Long-Term Physical Disabilities on Physical Activity

Abstract Background: Adults aging with long-term physical disabilities (AAwPD) face personal and environmental barriers to living independently, but little is known about their perspectives on and experiences with physical activity (PA). Purpose: The purpose of this study was to explore the perspectives of AAwPD on PA. Research design: Qualitative semi-structured interviews with AAwPD were conducted virtually via phone […]

Prevalence of Meeting Aerobic, Muscle-Strengthening, and Combined Physical Activity Guidelines During Leisure Time Among Adults (Links to an external site)

Abstract The healthful effects of physical activity on a multitude of physical and mental health outcomes are well documented. Despite promising increases in the percentage of U.S. adults meeting aerobic and muscle-strengthening physical activity guidelines (guidelines) during leisure time in nearly all demographic and regional subgroups 1998-2018, differences by rurality and U.S. Census Bureau region […]

<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 […]

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 […]

Student Spotlight: Tinuola Adebukola

Hometown: Lagos, Nigeria and grew up in Chicago, Illinois Undergraduate school and major/minor: Anthropology (Global Health & the Environment) Major and Psychology & Urban Studies Double Minor Program at Brown: 3-2 MPH Anticipated graduation date: Undergrad in May 2023; Graduate in May 2024 What are three things you have with you at all times: Waterbottle, Lip gloss, Phone What […]

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.

Findings in new study highlight the importance of better disseminating evidence about anorexia/bulimia and can inform dissemination efforts about mental health parity laws to state legislators. (Links to an external site)

Abstract 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), […]