Background" Reducing opioid reliance in chronic pain treatment may best be accomplished with interdisciplinary teams. Shared Medical Appointments (SMAs) are one format whereby an interdisciplinary team partners with groups of patients to provide health education and clinical care. The Whole Health (WH) model is an emerging framework whereby…

Health care reform tops the list of issues that voters consider important going into the 2020 elections. As health professionals, it is imperative that we not only become informed about this issue but also help shape our healthcare future. Based on a review of the health service and health policy literature, we address several myths that add to…

Background: Chronic Obstructive Pulmonary Disease (COPD) is more prevalent in rural areas than in non-rural areas due to factors such as limited access to healthcare; however, no known studies have systematically reviewed evidence related to the impact of self-management interventions on rural adults with COPD. Purpose: Systematically review…

Background: Disparity of access to care is one cause of health disparities in communities of economic disadvantage in the United States. The Behavioral Model of Health Services Use provided the theoretical framework for the study. Purpose: This study explores how health outcomes are affected by access to care among adult residents of a vulnerable…

With the onset and rapid spread of COVID-19 without a safe and effective vaccine, initial efforts to reduce community spread focused on basic public health measures such as mask wearing, social distancing, hand-washing, avoiding large gatherings, and suspected cases isolation and quarantine. Following was the development of the COVID-19…

Background Little is known about risk factors associated with poor health among employees with COPD [chronic obstructive pulmonary disease] living in Central Appalachia. Purpose: Determine variability in health distress based on risk factors, including race and income, among employees with COPD from Central Appalachian U.S. States. Methods:…

Background: Culturally and linguistically diverse (CALD) refugees and immigrants in the United States (U.S.) face barriers to accessing health care, and are more likely to have worse health outcomes as it relates to chronic disease. Better understanding health literacy for this population can identify gaps in knowledge, facilitate health…

Background: Mental health concerns for the collegial population are noted throughout the literature, with a recent focus on assessment, interventions and outreach. Concerns regarding individual resilience, barriers to seeking care and outreach opportunity venues have led careful consideration for further investigation of the rural college student.…

Though many studies have examined the level of physician obesity prevention counseling among the general population, little is known about how homeless patients are advised about healthy eating and physical activity by their health care provider. The homeless are an at-risk population with whom physicians and other health professionals can play a…

Background: Just because more online degree programs are available does not mean that each university has the support services to provide health services to their online students. Purpose: The purpose of this study was to determine whether health-related services are provided to fully online students based on the American College Health…

Background: By March 2014, all U.S. citizens were required to have health insurance according to the Affordable Care Act (ACA). Purpose: Study objectives were to explore individuals' opinions, perceptions, and communication sources and needs about the ACA and to assess differences by age group. Methods: In November 2013, 10 1-hour focus groups (5…

Background: Research has been conducted to determine the impact that education has on health behaviors; specifically, comparisons between highly educated and less educated groups. However, little research has been done on the racial variation among highly educated women. Purpose: This research examined the racial variation in the relationship…

This paper is reformatted and reprinted as part of the 40th Anniversary of the American Journal of Health Education. (originally School Health Review) Health Education--Our Heritage series. The original article appeared in the inaugural issue of School Health Review (Volume 1, September 1969, pp. 4-8). At the time, Joseph H. Douglass, Ph.D., was…

In this article, the author presents an update of Herman's article ["Changes in Patterns of Health Care," "School Health Review," 1(9-14)1969] that focuses on the changes in patterns of health care. He discusses the poverty, insurance, and access to medical care as well as the quality of medical care for adults and minors. He stresses that…

In the 1969 inaugural issue of the "School Health Review", Douglass J.H. examined four major issues he felt were central to the question of choices one has about health: (1) problems with health care delivery methods; (2) persistent poverty in our population and its impact on health; (3) systemic problems inherent in social and institutional…