Objective: Discuss the external factors that create barriers to accessing health care and engaging in healthy behaviors
Instructors: Edna Hamera and Debra Sullivan
Directions:
1. Read the following
Poston WS 2nd & Foreyt JP (1999). Obesity is an environmental issue. Atherosclerosis. 146:201-209.
Malmstrom et al, (1999). Neighborhood environment and self-reported health status: A multilevel analysis. Am J Public Health 90:1181-1186.
Click the link below to view the articles. You will asked for a password. The password directions are in the Discussion
http://kumc.docutek.com/eres/coursepage.aspx?cid=76
2. Watch the videotape scenarios of individuals with psychiatric
disabilities discuss their experience in obtaining general medical care. The
video clips will open in another window. Close the window when you are finished.
The length of the clip is given. Please note the longer files may take a few
minutes to download.
NOTE: You will be prompted for a username and password to view these clips. These will be posted in the threaded discussion. They WILL NOT be the same as the usernames and passwords used for the readings or Webboard.
Carman Clip (1:13 min)
Cherie Clip (7:88 min)
Deborah Clip (2:23 min)
Debra Clip (5:12 min)
Denise Clip (0:46 min)
Jan Clip (6:03 min)
Kathy Clip (4:16 min)
Valma Clip (3.56 min)
3. Complete one of the following activities to appreciate external barriers to health. If you have used public transportation within the past 2 weeks or were eligible and using food stamps in the past month you may write about one of these experiences for the assignment.
Public transportation
If public transportation is available use it to get to an appointment. Take
note of issues such as safety, convenience, exposure, frustration etc. during
the activity.
Food Stamps
Go to http://www.fns.usda.gov/fsp/applicant_recipients/fs_Res_Ben_Elig.htm
and calculate how much money you would have per day based on your family size.
Feed yourself and family if applicable, for one day on a food stamp budget without
using any ingredients you have on hand. Consider you and your family’s
satiety, achieving a balanced diet and variety of food choices when completing
this activity.
4. Go to the Discussion and prepare a summary using the criteria:
Evaluation Criteria:
| Evaluation of Barriers to Healthy Living | Points |
|
20=Summary relates experience, including date & circumstances, of actually implementing either public transportation or food stamps within the month. 10=Summary relates experience of actually implementing either public transportation or food stamps more than 1 month ago. 5=Summary relates experience of implementing either
public transportation or food stamps more than 1 month ago but gives little
details of the experience. |
20 |
| 10=Gives specific examples how only having public transportation or living on food stamps would change your own health promotion behaviors. 5=Gives general comments of how only having public transportation or living on food stamps would change health promotion behaviors. 0=Does not offer examples of how only having public
transportation or living on food stamps would change health promotion
behaviors |
10 |
| 15=Recall the health behavior you selected in the course introduction and summarize whether you have or have not incorporated the health behavior you were not routinely doing into your life. Elaborate on the barriers you experienced and any accommodations you made. 10= Recall the health behavior you selected in the course introduction and summarize whether you have or have not incorporated the health behavior you were not routinely doing into your life. Give only few details about the barriers you experienced and any accommodations you made. 5= Recall the health behavior you selected in the course
introduction and summarize whether you have or have not incorporated the
health behavior you were not routinely doing into your life. Give not
information on the barriers you experienced and any accommodations you
made. |
15 |
| TOTAL | 45 |