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21 results on '"Garcia, Rosa Elena"'

1. A corner store intervention to improve access to fruits and vegetables in two Latino communities

Author

Albert, Stephanie L, Langellier, Brent A, Sharif, Mienah Z, Chan-Golston, Alec M, Prelip, Michael L, Garcia, Rosa Elena, Glik, Deborah C, Belin, Thomas R, Brookmeyer, Ron, and Ortega, Alexander N

Subjects
Biomedical and Clinical Sciences, Public Health, Health Sciences, Nutrition and Dietetics, Prevention, Nutrition, Clinical Research, Cardiovascular, Cancer, Adolescent, Adult, Aged, California, Consumer Behavior, Cross-Sectional Studies, Diet, Female, Follow-Up Studies, Food Supply, Fruit, Health Behavior, Hispanic or Latino, Humans, Los Angeles, Male, Marketing, Middle Aged, Residence Characteristics, Socioeconomic Factors, Vegetables, Young Adult, Food swamps, Food environment, Healthy food availability, Hispanic Americans, Food policy, Medical and Health Sciences, Nutrition & Dietetics, Biomedical and clinical sciences, Health sciences
Abstract

ObjectiveInvestments have been made to alter the food environment of neighbourhoods that have a disproportionate number of unhealthy food venues. Corner store conversions are one strategy to increase access to fruits and vegetables (F&V). Although the literature shows modest success, the effectiveness of these interventions remains equivocal. The present paper reports on the evaluation of Proyecto MercadoFRESCO, a corner store conversion intervention in two Latino communities.DesignA repeated cross-sectional design was employed. Data were stratified by intervention arm and bivariate tests assessed changes over time. Logistic and multiple regression models with intervention arm, time and the interaction of intervention and time were conducted. Supplementary analyses account for clustering of patrons within stores and staggering of store conversions.SettingThree stores were converted and five stores served as comparisons in East Los Angeles and Boyle Heights, California, USA.SubjectsStore patrons were interviewed before (n550) and after (n407) the intervention.ResultsRelative to patrons of comparison stores, patrons of intervention stores demonstrated more favourable perceptions of corner stores and increased purchasing of F&V during that store visit. Changes were not detected in store patronage, percentage of weekly dollars spent on food for F&V or daily consumption of F&V.ConclusionsConsistent with some extant food environment literature, findings demonstrate limited effects. Investments should be made in multilevel, comprehensive interventions that target a variety retail food outlets rather than focusing on corner stores exclusively. Complementary policies limiting the availability, affordability and marketing of energy-dense, nutrient-poor foods should also be pursued.

Published
2017

2. Training the Next Generation of Latino Health Researchers: A Multilevel, Transdisciplinary, Community-Engaged Approach

Author

Kuo, Alice A, Sharif, Mienah Z, Prelip, Michael L, Glik, Deborah C, Albert, Stephanie L, Belin, Thomas, McCarthy, William J, Roberts, Christian K, Garcia, Rosa Elena, and Ortega, Alexander N

Subjects
Health Services and Systems, Public Health, Health Sciences, Clinical Research, Prevention, Basic Behavioral and Social Science, Cardiovascular, Behavioral and Social Science, Good Health and Well Being, Cardiovascular Diseases, Career Choice, Health Status Disparities, Humans, Interdisciplinary Communication, Leadership, Mentors, Mexican Americans, Program Development, Research Personnel, United States, health disparities, Latino, minority health, workforce development, Public Health and Health Services, Curriculum and Pedagogy, Public health
Abstract

Reducing health disparities is a national public health priority. Latinos represent the largest racial/ethnic minority group in the United States and suffer disproportionately from poor health outcomes, including cardiovascular disease risk. Academic training programs are an opportunity for reducing health disparities, in part by increasing the diversity of the public health workforce and by incorporating training designed to develop a skill set to address health disparities. This article describes the Training and Career Development Program at the UCLA Center for Population Health and Health Disparities: a multilevel, transdisciplinary training program that uses a community-engaged approach to reduce cardiovascular disease risk in two urban Mexican American communities. Results suggest that this program is effective in enhancing the skill sets of traditionally underrepresented students to become health disparities researchers and practitioners.

Published
2017

3. Substantial improvements not seen in health behaviors following corner store conversions in two Latino food swamps

Author

Ortega, Alexander N, Albert, Stephanie L, Chan-Golston, Alec M, Langellier, Brent A, Glik, Deborah C, Belin, Thomas R, Garcia, Rosa Elena, Brookmeyer, Ron, Sharif, Mienah Z, and Prelip, Michael L

Subjects
Public Health, Health Sciences, Prevention, Obesity, Clinical Research, Behavioral and Social Science, Nutrition, Clinical Trials and Supportive Activities, 3.1 Primary prevention interventions to modify behaviours or promote wellbeing, Prevention of disease and conditions, and promotion of well-being, Oral and gastrointestinal, Cancer, Cardiovascular, Stroke, Metabolic and endocrine, Adult, Commerce, Consumer Behavior, Diet, Feeding Behavior, Female, Follow-Up Studies, Food Supply, Fruit, Health Behavior, Hispanic or Latino, Humans, Los Angeles, Male, Middle Aged, Residence Characteristics, Vegetables, Corner store, Food deserts, Food environment, Food supply, Healthy food availability, Urban health, Latinos, Hispanic Americans, Food policy, Public Health and Health Services, Epidemiology, Health services and systems, Public health
Abstract

BackgroundThe effectiveness of food retail interventions is largely undetermined, yet substantial investments have been made to improve access to healthy foods in food deserts and swamps via grocery and corner store interventions. This study evaluated the effects of corner store conversions in East Los Angeles and Boyle Heights, California on perceived accessibility of healthy foods, perceptions of corner stores, store patronage, food purchasing, and eating behaviors.MethodsHousehold data (n = 1686) were collected at baseline and 12- to 24-months post-intervention among residents surrounding eight stores, three of which implemented a multi-faceted intervention and five of which were comparisons. Bivariate analyses and logistic and linear regressions were employed to assess differences in time, treatment, and the interaction between time and treatment to determine the effectiveness of this intervention.ResultsImprovements were found in perceived healthy food accessibility and perceptions of corner stores. No changes were found, however, in store patronage, purchasing, or consumption of fruits and vegetables.ConclusionsResults suggest limited effectiveness of food retail interventions on improving health behaviors. Future research should focus on other strategies to reduce community-level obesity.

Published
2016

4. Access to and Use of Health Care Services Among Latinos in East Los Angeles and Boyle Heights

Author

Alcalá, Héctor E, Albert, Stephanie L, Trabanino, Shawn K, Garcia, Rosa-Elena, Glik, Deborah C, Prelip, Michael L, and Ortega, Alexander N

Subjects
Health Services, Prevention, Clinical Research, Behavioral and Social Science, Health and social care services research, 8.1 Organisation and delivery of services, Good Health and Well Being, Adult, Community Health Services, Emigrants and Immigrants, Female, Health Services Accessibility, Hispanic or Latino, Humans, Logistic Models, Los Angeles, Male, Medically Uninsured, Middle Aged, Patient Protection and Affordable Care Act, Residence Characteristics, acculturation, health care disparities, health services, insurance, Public Health and Health Services, Public Health
Abstract

This study examined differences in access, utilization, and barriers to health care by nativity, language spoken at home, and insurance status in East Los Angeles and Boyle Heights, California. Data from household interviews of neighborhood residents conducted as part of a corner store intervention project were used. Binary and multinomial logistic regression models were fitted. Results showed that uninsured and foreign-born individuals were differentially affected by lack of access to and utilization of health care. While the Affordable Care Act may ameliorate some disparities, the impact will be limited because of the exclusion of key groups, like the undocumented, from benefits.

Published
2016

5. Proyecto MercadoFRESCO: A Multi-level, Community-Engaged Corner Store Intervention in East Los Angeles and Boyle Heights

Author

Ortega, Alexander N, Albert, Stephanie L, Sharif, Mienah Z, Langellier, Brent A, Garcia, Rosa Elena, Glik, Deborah C, Brookmeyer, Ron, Chan-Golston, Alec M, Friedlander, Scott, and Prelip, Michael L

Subjects
Obesity, Prevention, Clinical Research, Behavioral and Social Science, Nutrition, Sustainable Cities and Communities, Community-Institutional Relations, Diet, Food Supply, Health Promotion, Hispanic or Latino, Humans, Los Angeles, Minority Groups, Poverty, Residence Characteristics, Social Marketing, Urban Population, Food deserts, Hispanic health, Mexican, Environmental intervention, Convenience stores, Bodegas, Hispanic Americans, Public Health and Health Services, Public Health
Abstract

Urban food swamps are typically situated in low-income, minority communities and contribute to overweight and obesity. Changing the food landscape in low income and underserved communities is one strategy to combat the negative health consequences associated with the lack of access to healthy food resources and an abundance of unhealthy food venues. In this paper, we describe Proyecto MercadoFRESCO (Fresh Market Project), a corner store intervention project in East Los Angeles and Boyle Heights in California that used a multi-level approach with a broad range of community, business, and academic partners. These are two neighboring, predominantly Latino communities that have high rates of overweight and obesity. Located in these two communities are approximately 150 corner stores. The project used a community-engaged approach to select, recruit, and convert four corner stores, so that they could become healthy community assets in order to improve residents' access to and awareness of fresh and affordable fruits and vegetables in their immediate neighborhoods. We describe the study framework for the multi-level intervention, which includes having multiple stakeholders, expertise in corner store operations, community and youth engagement strategies, and social marketing campaigns. We also describe the evaluation and survey methodology to determine community and patron impact of the intervention. This paper provides a framework useful to a variety of public health stakeholders for implementing a community-engaged corner store conversion, particularly in an urban food swamp.

Published
2015

6. A Mixed Methods Comparison of Urban and Rural Retail Corner Stores.

Author

McGuirt, Jared T, Pitts, Stephanie B Jilcott, Ammerman, Alice, Prelip, Michael, Hillstrom, Kathryn, Garcia, Rosa Elena, and McCarthy, William J

Subjects
corner stores, food environment, rural, spatial regression, urban, Rural Health
Abstract

Efforts to transform corner stores to better meet community dietary needs have mostly occurred in urban areas but are also needed in rural areas. Given important contextual differences between urban and rural areas, it is important to increase our understanding of the elements that might translate successfully to similar interventions involving stores in more rural areas. Thus, an in-depth examination and comparison of corner stores in each setting is needed. A mixed methods approach, including windshield tours, spatial visualization with analysis of frequency distribution, and spatial regression techniques were used to compare a rural North Carolina and large urban (Los Angeles) food environment. Important similarities and differences were seen between the two settings in regards to food environment context, spatial distribution of stores, food products available, and the factors predicting corner store density. Urban stores were more likely to have fresh fruits (Pearson chi2 = 27.0423; p < 0.001) and vegetables (Pearson chi2 = 27.0423; p < 0.001). In the urban setting, corner stores in high income areas were more likely to have fresh fruit (Pearson chi2 = 6.00; p = 0.014), while in the rural setting, there was no difference between high and low income area in terms of fresh fruit availability. For the urban area, total population, no vehicle and Hispanic population were significantly positively associated (p < 0.05), and median household income (p < 0.001) and Percent Minority (p < 0.05) were significantly negatively associated with corner store count. For the rural area, total population (p < 0.05) and supermarket count were positively associated (p < 0.001), and median household income negatively associated (P < 0.001), with corner store count. Translational efforts should be informed by these findings, which might influence the success of future interventions and policies in both rural and urban contexts.

Published
2015

14. Patient-Reported Outcome-Based Performance Measures for Older Adults with Multiple Chronic Conditions

Author

Edelen, Maria Orlando, Rose, Adam J., Bayliss, Elizabeth, Baseman, Lesley, Butcher, Emily, Garcia, Rosa-Elena, Tabano, David, and Stucky, Brian D.

Subjects
Health Care Delivery, Quality, and Patient Safety
Abstract

As measures of health care quality have become more sophisticated, the goals of patient care have expanded into helping patients optimize their functional status and well-being. Patient-reported outcome (PRO) based performance measures (PMs) can measure how well these aspects of care are being delivered and compare the performance of health care systems and different provider groups. Most PMs focus on technical quality of care or such outcomes as survival. For older adults, especially those over age 80 with multiple chronic conditions (MCC), it might be equally important or even more important to have a good quality of life. Therefore, policymakers and researchers have been particularly interested in designing PMs that reflect these patients' goals. To date, no PRO-based PMs have been formally developed or validated specifically for use in older adults with MCC. RAND analysts tested PMs that were based on two prominent instruments for assessing health-related quality of life: the Veterans RAND 36 Item Health Survey (VR-36) and the Patient-Reported Outcomes Measurement Information System 29-item (PROMIS-29) profile instrument. The PROMIS-29 is in widespread use but has undergone limited validation in a geriatric population with MCC. The study had two main aims: first, to validate the PROMIS-29 in this population, and second, to develop a better understanding of the practical use of PRO-based PMs in a geriatric population. To this end, the analysts assessed PM performance based on serial administration of the VR-36 or PROMIS-29, specifically in the MCC population studied.

Published
2018

16. Academic-manager: sistema para a gestão escolar

Author

Garcia, Rosa Elena do Nascimento Pascoal and Fermé, Eduardo Leopoldo

Subjects
Faculdade de Ciências Exatas e da Engenharia, Software engineering, Aplicação web, Project management, Engenharia de software, Engenharia Informática, Web application, Métodos ágeis, Engenharia e Tecnologia::Engenharia Eletrotécnica, Eletrónica e Informática [Domínio/Área Científica], Gestão de projeto, Agile methods
Abstract

Submitted by António Freitas (amsf@uma.pt) on 2017-03-24T09:45:50Z No. of bitstreams: 1 Dissertação posterior a Agosto de 2013 não recebida .pdf: 18471 bytes, checksum: bf7ef1f171679c182cb43cf993bdfe56 (MD5)

Published
2016

20. Trastornos de personalidad desde la complejidad: lógica borrosa y mundos posibles

Author

Salinas Atuesta, Karen Viviana, Sierra Vargas, Helvy Giovanny, Duque Garcia, Rosa Elena, Aya Angarita, Sandra Liliana, and Universidad Santo Tomás

Subjects
Fuzzy logic, Trastorno de personalidad, Lógica borrosa, Personality disorder, Trastornos de la personalidad -- Investigaciones, Lógica borrosa -- Investigaciones, Intervención sistémica, Systemic intervention, Complejidad, Possible worlds, Complexity, Complejidad (Psicología) -- Investigaciones, Mundos posibles
Abstract

La presente investigación-intervención se adscribe a la línea de investigación “Historias y Narrativas Familiares en Diversidad de Contextos”, vinculada a la Maestría en Psicología Clínica y de la Familia de la Universidad Santo Tomás. El objetivo general es comprender los trastornos de personalidad a partir de los postulados de la complejidad y la lógica borrosa orientados a la construcción de procesos interventivos polivalentes que permitan la generación de novedades adaptativas, coevolutivas y de mundos posibles. Por lo anterior, se plantea ¿Cómo a través de una comprensión compleja de los trastornos de personalidad se pueden implementar procesos interventivos que movilicen cambios desde una lógica borrosa para la generación de novedades adaptativas, coevolución y mundos posibles? El proyecto corresponde a una investigación-intervención contextual y reflexiva, con metodología cualitativa, orientada por principios epistemológicos de corte sistémico, complejo y de segundo orden. Se realizaron 6 escenarios en la IPS de la Universidad Santo Tomás con una familia con un integrante con trastorno de personalidad, dos escenarios en el CRIB con un participante con trastorno de personalidad y un escenario con tres psicoterapeutas. Se elaboraron análisis narrativos conversacionales partiendo de los conceptos metodológicos, con el fin de dar cuenta de las comprensiones emergentes en relación con el fenómeno de estudio. Se concluye como aporte a la investigación que los trastornos de personalidad se comprenden como un proceso de autoorganización fallido, a través del cual el sistema construye su identidad y significa su realidad, enmarcadas desde posturas categóricas y bivalentes (salud/enfermedad), estableciendo procesos de cambio direccionados al control, predicción y eliminación del síntoma, invisibilizando el carácter ambiguo, dinámico y borroso de los fenómenos humanos. Por lo anterior, se consolidan relatos alternos que deconstruyen las comprensiones patológicas y dan apertura hacia una tercera historia en la cual se co-construyen versiones polivalentes, bajo modelos flexibles y posibilitadores que actualizan la experiencia narrada, generando distinciones entre lo patológico como una parte y al sistema familiar como un todo, trascendiendo de una pauta relacional contenedora, favoreciendo la emergencia de procesos de innovación que activen el potencial creativo del sistema y posibiliten identificación de recursos que permitan la coevolución y adaptación de este en el tránsito de su ciclo vital. This research-intervention is ascribed to the line of research "Family Stories and Narratives in Diversity of Contexts", linked to the Master's Degree in Clinical and Family Psychology at the Santo Tomás University. The general objective is to understand personality disorders from the postulates of complexity and fuzzy logic aimed at the construction of multipurpose interventional processes that allow the generation of adaptive, coevolutionary and possible worlds novelties. Therefore, it is proposed how, through a complex understanding of personality disorders, interventional processes can be implemented that mobilize changes from a fuzzy logic for the generation of adaptive novelties, coevolution and possible worlds? The project corresponds to a contextual and reflective investigation- intervention, with qualitative methodology, guided by epistemological principles of a systemic, complex and second-order nature. Six scenarios were carried out at the IPS of the Santo Tomás University with a family member with a member with a personality disorder, two scenarios at the CRIB with a participant with a personality disorder, and one scenario with three psychotherapists. Conversational narrative analyzes were developed based on methodological concepts, in order to account for the emerging understandings in relation to the phenomenon of study. It is concluded as a contribution to research that personality disorders are understood as a failed self- organization process, through which the system builds its identity and signifies its reality, framed from categorical and bivalent positions (health / disease), establishing processes of change directed to the control, prediction and elimination of the symptom, making the ambiguous, dynamic and blurred nature of human phenomena invisible. Therefore, alternate accounts are consolidated that deconstruct pathological understandings and opens up a third story in which multipurpose versions are co-constructed, under flexible and enabling models that update the narrated experience, generating distinctions between the pathological as a part and the family system as a whole, transcending a containing relational pattern, favoring the emergence of processes. Magíster en Psicología Clínica y de la Familia http://unidadinvestigacion.usta.edu.co Maestría

Published
2022

21. Identidad narrativa de parejas diversas: dialogos generativos en el conflicto conyugal

Author

Diaz Dueñes, Johanna Isabel and Duque Garcia, Rosa Elena

Subjects
Conjugal Conflict, Narrativa Conversacional, Identidad Narrativa, Pareja del Mismo Sexo, Same-Sex Couple, Psicoterapia Sistemica, Conflicto Conyugal, Terapia Narrativa, Narrative Therapy, Conversational Narrative, Narrative Identity, Systemic Psychotherapy
Abstract

Esta investigación-intervención fue desarrollada en la línea “historias y narrativas de los sistemas humanos en diversidad de contextos” de la Maestría en Psicología Clínica y de la Familia de la Universidad Santo Tomás. Aborda la comprensión de la identidad narrativa de la pareja del mismo sexo y el conflicto conyugal en psicoterapia sistémica. Dado el poco trabajo de investigación encontrado en esta área; el objetivo fue comprender en los relatos los significados de la experiencia del ser pareja del mismo sexo y su resignificación en el conflicto conyugal en terapia narrativa. Se desarrolló un proceso de investigación intervención de segundo orden con una pareja y un diseño metodológico reflexivo de corte cualitativo, escenarios narrativo-conversacionales y profundización de análisis categorial de narrativas. Los resultados describen que la identidad narrativa se construye en la experiencia dialógica y se redefine en el conflicto conyugal como la co-construcción de relatos alternos de identidad. This research-intervention was developed in the line "histories and narratives of human systems in diversity of contexts" of the Master's Degree in Clinical Psychology and Family of the University Santo Tomás. It addresses the understanding of the narrative identity of the same-sex couple and the marital conflict in systemic psychotherapy. Given the little research work found in this area; the objective was to understand in the stories the meanings of the experience of being a couple of the same sex and its resignification in the conjugal conflict in narrative therapy. A second-order intervention research process was developed with a couple and a qualitative reflective methodological design, narrative-conversational scenarios and deepening of categorical analysis of narratives. The results describe that the narrative identity is constructed in the dialogic experience and is redefined in the conjugal conflict as the co-construction of alternative narratives of identity. Magíster en Psicología Clínica y de la Familia http://unidadinvestigacion.usta.edu.co Maestría

Published
2018

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