Successful Integration of Research Findings into Public Health Practice

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Successful Integration of Research Findings into
Public Health Practice

• Natalie Roy, MPH
• Development Director
• AgriSafe Network

1200 1st Ave E Spencer, IA, 51301 Phone (301)
432-0259 Email nroy_at_agrisafe.org www.AgriSafe.or
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AgriSafe Network

• The Mission of the Network is to support a
  growing network of trained agricultural health
  and safety professionals that assure access to
  preventive service for farm families and the
  agricultural community.

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AgriSafe Network
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AgriSafe Model

• Develops and provides menu of services
• Occupational health screenings
• On site farm site evaluations
• Personal protective equipment (PPE)
• sales and education
• Educational programs

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Preventive Health Services

• General Health Screening Services
• Height/weight evaluation
• Blood Pressure
• Cholesterol

• Agricultural Specific Screening Services
• Occupational History
• Lung Function screening
• Hearing Test
• Skin Cancer Screening
• Back/Spine Lifting Safety Assessment
• Cholinesterase
• Tetanus Immunization
  

Referral to Health Care Providers
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Educational Services

• Health and safety education specific to farmers
  needs
• Community-wide health education
  and health promotion programs
• Personal protective equipment selection, sales
  education

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Health Promotion in the Farming Community
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AgriSafe Service Locations

• Commodity Groups Meetings/conferences
• Pesticide Applicator Training
• Farm Association Meetings/conferences
• Grain Elevators
• County Fairs
• Seed Dealers
• Stockyards
• Machine Dealerships

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Public Health Core Functions

• Assessment
• Policy Development
• Assurance
• Institute of Medicine, 1988

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Determinant Research

• Examines how various risks influence health
  outcomes
• Certified Safe Farm
• Barriers to care survey
• Woman and farming

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Intervention Research

• Involves the development of pilot programs and
  examines the effectiveness in improving health
  and safety
• GPCAH outreach services
• Certified Safe Farm
• Integration of behavioral health and AgriSafe
  services
• Asthma management program
• Knowledge of farm exposures, ergonomics, work
  practices, social/cultural differences,
  economics, and health care utilization can
  improve the health of the farming community.
• The National Coalition for Agricultural Safety
  and Health estimates it takes 8000 nurses, 1000
  physicians, and at least 500 industrial
  hygienists to adequate deliver preventive
  agricultural health and safety services to the
  farming community.

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Dissemination Research

• Examines the transition of pilot programs to
  widespread practice and adoption
• Senior Certified Safe Farm
• Personal Protective Equipment Campaign
• National replication of AgriSafe model

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Progression
Policy Development
Dissemination Research
Assurance
Intervention Research
Assessment
Determinant Research
Source Research agenda of NCCDPHP
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Interdependence of Research and Practice
Policy/Programs
Research Translation
Research Questions
Research Findings
Research Methods
Source Research agenda of NCCDPHP
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Applied Research

• Requires
• collaboration with researchers, public health
  practitioners, policymakers, community leaders
  and target population.
• well defined roles and expectations
• understanding of cyclical process
• long term commitment and follow-through
• dedication to improve public health

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Forward Vision

• Federal
• Integrate agricultural health and safety distance
• learning in the Public Health Training Network
• course offerings.
• http//www.phppo.cdc.gov/PHTN/brochure.pdf

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Forward Vision

• State
• Develop and test Behavioral Risk Factor Survey
  (BRFS) modules that measure the health and safety
  needs of the agricultural community.
• http//www.idph.state.ia.us/brfss

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Forward Vision

• Local
• Capture occupation type from ER data
• Change organizational practices at local clinics
• Train at least 30 of rural health professionals
  in the field of agricultural health and safety