4 results on '"Scott T. Shimotsu"'
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2. Worksite environment physical activity and healthy food choices: measurement of the worksite food and physical activity environment at four metropolitan bus garages
- Author
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Simone A. French, Peter J. Hannan, Anne Faricy Gerlach, and Scott T. Shimotsu
- Subjects
Nutrition and Dietetics ,business.industry ,lcsh:Public aspects of medicine ,Research ,Physical activity ,Medicine (miscellaneous) ,lcsh:RA1-1270 ,030209 endocrinology & metabolism ,Physical Therapy, Sports Therapy and Rehabilitation ,Metropolitan area ,Work environment ,lcsh:Nutritional diseases. Deficiency diseases ,03 medical and health sciences ,0302 clinical medicine ,Healthy food ,Weight gain prevention ,Environmental health ,Weight management ,Medicine ,Environmental intervention ,Transit bus ,030212 general & internal medicine ,business ,lcsh:RC620-627 - Abstract
Background The present research describes a measure of the worksite environment for food, physical activity and weight management. The worksite environment measure (WEM instrument) was developed for the Route H Study, a worksite environmental intervention for weight gain prevention in four metro transit bus garages in Minneapolis-St. Paul. Methods Two trained raters visited each of the four bus garages and independently completed the WEM. Food, physical activity and weight management-related items were observed and recorded on a structured form. Inter-rater reliability was computed at the item level using a simple percentage agreement. Results The WEM showed high inter-rater reliability for the number and presence of food-related items. All garages had vending machines, microwaves and refrigerators. Assessment of the physical activity environment yielded similar reliability for the number and presence/absence of fitness items. Each garage had a fitness room (average of 4.3 items of fitness equipment). All garages had at least one stationary bike and treadmill. Three garages had at least one weighing scale available. There were no designated walking areas inside or outside. There were on average < 1 food stores or restaurants within sight of each garage. Few vending machine food and beverage items met criteria for healthful choices (15% of the vending machine foods; 26% of the vending machine beverages). The garage environment was perceived to be not supportive of healthy food choices, physical activity and weight management; 52% reported that it was hard to get fruits and vegetables in the garages, and 62% agreed that it was hard to be physically active in the garages. Conclusion The WEM is a reliable measure of the worksite nutrition, physical activity, and weight management environment that can be used to assess changes in the work environment.
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3. Annotated receipts capture household food purchases from a broad range of sources
- Author
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Ericka M. Welsh, Melanie M. Wall, Scott T. Shimotsu, Nathan R. Mitchell, and Simone A. French
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2. Zero hunger ,0303 health sciences ,Nutrition and Dietetics ,030309 nutrition & dietetics ,business.industry ,Dietary intake ,Research ,lcsh:Public aspects of medicine ,digestive, oral, and skin physiology ,Food consumption ,Behavioural sciences ,Medicine (miscellaneous) ,Physical Therapy, Sports Therapy and Rehabilitation ,lcsh:RA1-1270 ,Food purchasing ,Agricultural economics ,03 medical and health sciences ,lcsh:Nutritional diseases. Deficiency diseases ,0302 clinical medicine ,Medicine ,030212 general & internal medicine ,business ,lcsh:RC620-627 ,Consumer behaviour ,health care economics and organizations - Abstract
Background Accurate measurement of household food purchase behavior (HFPB) is important for understanding its association with household characteristics, individual dietary intake and neighborhood food retail outlets. However, little research has been done to develop measures of HFPB. The main objective of this paper is to describe the development of a measure of HFPB using annotated food purchase receipts. Methods Households collected and annotated food purchase receipts for a four-week period as part of the baseline assessment of a household nutrition intervention. Receipts were collected from all food sources, including grocery stores and restaurants. Households (n = 90) were recruited from the community as part of an obesity prevention intervention conducted in 2007–2008 in Minneapolis, Minnesota, USA. Household primary shoppers were trained to follow a standardized receipt collection and annotation protocol. Annotated receipts were mailed weekly to research staff. Staff coded the receipt data and entered it into a database. Total food dollars, proportion of food dollars, and ounces of food purchased were examined for different food sources and food categories. Descriptive statistics and correlations are presented. Results A total of 2,483 receipts were returned by 90 households. Home sources comprised 45% of receipts and eating-out sources 55%. Eating-out entrees were proportionally the largest single food category based on counts (16.6%) and dollars ($106 per month). Two-week expenditures were highly correlated (r = 0.83) with four-week expenditures. Conclusion Receipt data provided important quantitative information about HFPB from a wide range of sources and food categories. Two weeks may be adequate to reliably characterize HFPB using annotated receipts.
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4. Hennepin Health: a safety-net accountable care organization for the expanded Medicaid population.
- Author
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Sandberg SF, Erikson C, Owen R, Vickery KD, Shimotsu ST, Linzer M, Garrett NA, Johnsrud KA, Soderlund DM, and DeCubellis J
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- Health Services Accessibility, Humans, Minnesota, Organizational Case Studies, United States, Accountable Care Organizations organization & administration, Community-Institutional Relations, Cooperative Behavior, Medicaid, Safety-net Providers organization & administration
- Abstract
Health care payment and delivery models that challenge providers to be accountable for outcomes have fueled interest in community-level partnerships that address the behavioral, social, and economic determinants of health. We describe how Hennepin Health--a county-based safety-net accountable care organization in Minnesota--has forged such a partnership to redesign the health care workforce and improve the coordination of the physical, behavioral, social, and economic dimensions of care for an expanded community of Medicaid beneficiaries. Early outcomes suggest that the program has had an impact in shifting care from hospitals to outpatient settings. For example, emergency department visits decreased 9.1 percent between 2012 and 2013, while outpatient visits increased 3.3 percent. An increasing percentage of patients have received diabetes, vascular, and asthma care at optimal levels. At the same time, Hennepin Health has realized savings and reinvested them in future improvements. Hennepin Health offers lessons for counties, states, and public hospitals grappling with the problem of how to make the best use of public funds in serving expanded Medicaid populations and other communities with high needs., (Project HOPE—The People-to-People Health Foundation, Inc.)
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- 2014
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