6 results on '"Ellen, Jonathan"'
Search Results
2. An assessment of the feasibility and acceptability of a friendship-based social network recruitment strategy to screen at-risk African American and Hispanic/Latina young women for HIV infection.
- Author
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Boyer CB, Hightow-Weidman L, Bethel J, Li SX, Henry-Reid L, Futterman D, Maturo D, Straub DM, Howell K, Reid S, Lowe J, Kapogiannis BG, and Ellen JM
- Subjects
- Adolescent, Cross-Sectional Studies, Feasibility Studies, Female, Florida, Friends, HIV Infections diagnosis, HIV Infections prevention & control, Humans, Young Adult, Black or African American, HIV Infections ethnology, Hispanic or Latino, Mass Screening methods, Social Support
- Abstract
OBJECTIVES To examine the feasibility and acceptability of a friendship-based network recruitment strategy for identifying undiagnosed human immunodeficiency virus (HIV) infection within young women's same-sex friendship networks and to determine factors that facilitated and hindered index recruiters (IRs) in recruiting female friendship network members (FNMs) as well as factors that facilitated and hindered FNMs in undergoing HIV screening. DESIGN A cross-sectional study design that incorporated dual incentives for IRs and their female FNMs. SETTING The IRs were recruited through 3 Adolescent Trials Network for HIV/AIDS Interventions sites within their Adolescent Medicine Trials Units. Data were collected from January 1, 2009, through June 30, 2010. PARTICIPANTS The IRs self-identifying as HIV positive, negative, or status unknown were enrolled to recruit FNMs to undergo HIV screening. MAIN OUTCOME MEASURES Self-reports of HIV risk and facilitators and barriers to network recruitment and HIV screening were assessed using an audio-computer-assisted self-interview. Participants were identified as HIV negative or positive on the basis of an OraQuick HIV test with confirmatory enzyme-linked immunosorbent assay and/or Western blot tests. RESULTS Nearly all (156 [98.1%]) eligible IRs agreed to participate and most (78.4%) recruited 1 or more FNMs. Of the 381 FNMs, most (342 [89.8%]) agreed to HIV screening. Although a high acceptance of HIV screening was achieved, the HIV prevalence was low (0.26%). CONCLUSION Our findings provide compelling evidence to suggest that use of a female friendship network approach is a feasible and acceptable means for engaging at-risk young women in HIV screening, as shown by their high rates of agreement to undergo HIV screening.
- Published
- 2013
- Full Text
- View/download PDF
3. Complete self-sufficiency planning: designing and building disaster-ready hospitals.
- Author
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Brands CK, Hernandez RG, Stenberg A, Carnes G, Ellen J, Epstein M, and Strouse T
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- Cyclonic Storms, Electric Power Supplies, Emergency Medical Services organization & administration, Florida, Hospitals, Pediatric, Humans, United States, Disaster Planning, Hospital Design and Construction methods
- Abstract
Objectives: The need for healthcare systems and academic medical centers to be optimally prepared in the event of a disaster is well documented. Events such as Hurricane Katrina demonstrate a major gap in disaster preparedness for at-risk medical institutions. To address this gap, we outline the components of complete self-sufficiency planning in designing and building hospitals that will function at full operational capacity in the event of a disaster. We review the processes used and outcomes achieved in building a new critical access, freestanding children's hospital in Florida., Methods: Given that hurricanes are the most frequently occurring natural disaster in Florida, the executive leadership of our hospital determined that we should be prepared for worst-case scenarios in the design and construction of a new hospital. A comprehensive vulnerability assessment was performed. A building planning process that engaged all of the stakeholders was used during the planning and design phases. Subsequent executive-level review and discussions determined that a disaster would require the services of a fully functional hospital. Lessons learned from our own institution's previous experiences and those of medical centers involved in the Hurricane Katrina disaster were informative and incorporated into an innovative set of hospital design elements used for construction of a new hospital with full operational capacity in a disaster., Results: A freestanding children's hospital was constructed using a new framework for disaster planning and preparedness that we have termed complete self-sufficiency planning., Conclusions: We propose the use of complete self-sufficiency planning as a best practice for disaster preparedness in the design and construction of new hospital facilities.
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- 2013
- Full Text
- View/download PDF
4. Transition of adolescents with HIV to adult care: characteristics and current practices of the adolescent trials network for HIV/AIDS interventions.
- Author
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Gilliam PP, Ellen JM, Leonard L, Kinsman S, Jevitt CM, and Straub DM
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- Adolescent, Adult, Florida, Humans, Patient Care Team, Continuity of Patient Care, HIV Infections drug therapy
- Abstract
The transition process from pediatric to adult health care for adolescents with chronic diseases is always challenging and can be even more so for adolescents with HIV disease. The purpose of this study was to describe characteristics and current practices surrounding the transition of adolescents from the clinics of the Adolescent Trials Network for HIV/AIDS Interventions to adult medical care. This report focuses on the processes of transition, perceived barriers and facilitators, and anecdotal reports of successes and failures. Practice models used to assist adolescents during transition to adult medical care are described. Interviews were conducted with 19 key informants from 14 Adolescent Trials Network clinics. Findings revealed no consistent definition of "successful" transition, little consensus among the sites regarding specific elements of a transition program, and a lack of mechanisms to assess outcomes. Sites that viewed transition as a process rather than an event consistently described more structured program elements., (Copyright © 2011 Association of Nurses in AIDS Care. Published by Elsevier Inc. All rights reserved.)
- Published
- 2011
- Full Text
- View/download PDF
5. Mobilizing communities around HIV prevention for youth: how three coalitions applied key strategies to bring about structural changes.
- Author
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Chutuape KS, Willard N, Sanchez K, Straub DM, Ochoa TN, Howell K, Rivera C, Ramos I, and Ellen JM
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- Adolescent, Black or African American, Child, Community-Based Participatory Research, Community-Institutional Relations, Female, Florida, Hispanic or Latino, Humans, Male, Organizational Case Studies, Prisons, Puerto Rico, Sex Education, Urban Population, Young Adult, Community Networks organization & administration, HIV Infections prevention & control, Sex Offenses prevention & control, Sexually Transmitted Diseases prevention & control
- Abstract
Increasingly, HIV prevention efforts must focus on altering features of the social and physical environment to reduce risks associated with HIV acquisition and transmission. Community coalitions provide a vehicle for bringing about sustainable structural changes. This article shares lessons and key strategies regarding how three community coalitions located in Miami and Tampa, Florida, and San Juan, Puerto Rico engaged their respective communities in bringing about structural changes affecting policies, practices and programs related to HIV prevention for 12-24-year-olds. Outcomes of this work include increased access to HIV testing and counseling in the juvenile correctional system (Miami), increased monitoring of sexual abuse between young women and older men within public housing, and support services to deter age discordant relationships (Tampa) and increased access to community-based HIV testing (San Juan).
- Published
- 2010
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6. The role of community resource assessments in the development of 15 adolescent health community-researcher partnerships.
- Author
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Deeds BG, Peralta L, Willard N, Ellen J, Straub DM, and Castor J
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- Acquired Immunodeficiency Syndrome prevention & control, Adolescent, Child, Female, Florida, Humans, Male, Needs Assessment, Primary Prevention, Small-Area Analysis, Young Adult, Adolescent Health Services supply & distribution, Community Health Services supply & distribution, Community-Based Participatory Research methods, HIV Infections prevention & control, Health Resources supply & distribution
- Abstract
Background: Connect to Protect (C2P): Partnerships for Youth Prevention Interventions is an initiative that alters the community's structural elements to reduce youth HIV rates., Objectives: This study details a community resource assessment and describes how resources were evaluated in the context of local needs., Methods: Fifteen sites developed a community resource list, conducted a brief survey, created a youth service directory, and mapped where disease prevalence and community resources intersected. Sites also completed a survey to review and verify local site findings., Results: On average, sites identified 267 potential community resources. Sites narrowed their resource list to conduct a brief survey with 1,162 agencies; the site average was 78. Final products of this process included maps comparing resources with risk data., Conclusions: The evaluation of local resources is an important initial step in partnership development and is essential for the success of health promotion and disease prevention interventions that target adolescents.
- Published
- 2008
- Full Text
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