Health Disparity Informed Community Wellness

Question 1

What are the domains of Social Determinants of Health

Answer 1

Economic stability
Education
Health Care
Neighborhood & Built Environment
Social & Community Context

Question 2

What are the domains that affect Health & Recovery

Answer 2

Medical care - 20%
Social and economic circumstances - 40%
Environmental factors - 10%
Behavioral patterns - 30%

Question 3

What is a screening tool to assess social needs?

Answer 3

Questionnaire utilized the American Academy of Family Physicians (AAFP) Social Needs Screening Tool

Question 4

How often do hospitals have to perform a needs assessment survey?

Answer 4

Every 3 years

Question 5

What are some of the sections within the American Academy of Family Physicians?

Answer 5

14 questions with the following sections:
-Housing
-Food
-Transportation
-Utilities
-Child care
-Employment
-Education
-Finances
-Personal safety

Question 6

What are some of sections that were reported to be impacting patients within the survey the most?

Answer 6

Fiances (66%)
Employment (35%)
Food (17%)
Transportation (14%)

Question 7

How are CVAs/strokes skewed within populations?

Answer 7

Risk of having a first stroke is nearly twice as high for Blacks as for Whites, and Blacks have the highest rate of death due to stroke
Though stroke death rates have declined for decades among all race/ethnicities, Hispanics have seen an increase in death rates since 2013
Fourth leading cause of death in Pennsylvania

Question 8

What body structure, function and activity impact the risk of strokes/CVA?

Answer 8

Decreased mobility!
Moderate-severe stroke, lower age, and walking disability are important predictors of healthcare utilization after stroke
Leading cause of serious long-term disability

Question 9

What are some factors associated with community participation post stroke?

Answer 9

Depression
Fatigue
Mobility
Environmental Support

Question 10

How can PT’s help with the outcomes post CVA/stroke?

Answer 10

Improve mobility!
Stroke reduces mobility in more than half of stroke survivors age 65 and older

Question 11

What are some barriers for accessing PT post CVA/stroke?

Answer 11

Personal adapted equipment
Accessible environments
Transportation
Services
Education and Information
Long distances
Inconvenient environmental conditions
Negative Social Support

Question 12

How did the Arcadia HITT structure impact patients post CVA/stroke?

Answer 12

Improved endurance on average in the 6MWT and 10MWT - greater impact in 10MWT
Patient reported outcome and 5xSTS did not significantly change

Question 13

Key accomplishments within HIIT study?

Answer 13

Group Support - Participants share insight, motivation, and laughs with one another

Increased Intensity - Participants leave drenched in sweat!

Increased Step Count - An hour packed full of movement!

Question 14

Limitations within HIIT study?

Answer 14

Clinic Size + SPT availability - About 60 SPTs in program and 12 are on rotation at one time

Financial Sustainability - Funded by university and student board fundraising

Frequent SPT turn over - 6 week rotations

Inconsistent outcome measures - Based on participant schedule and SPT awareness