Maternal Child Health Newsletter 9/24/04

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Maternal Child Health Newsletter 9/24/04

Postby laura » Fri Sep 24, 2004 09:54 pm

MCH Alert
Tomorrow's Policy Today

National Center for Education in Maternal and Child Health
Search past issues of the MCH Alert and other MCH Library resources at

September 24, 2004

1. New Edition of Adolescent Pregnancy Prevention Knowledge Path Released
2. Compendium of Dietary Research Questions Published
3. Workplace Lactation Program Resource Kit Available
4. Report Identifies Best Practices for Addressing Overcrowding in
Hospital Emergency Departments
5. Fact Sheet Highlights Need for Capacity-Building Measures to Restore
Public Faith and Sustain Nonprofits
6. Article Assesses the Effectiveness of Information Prescriptions for
Pediatric Patient Education on the Internet



The new edition of the Adolescent Pregnancy Prevention knowledge path is
an electronic resource guide on recent, high-quality resources that
analyze data, describe public health campaigns and prevention programs,
and report on research aimed at identifying causes and promising
intervention strategies. Produced by the MCH Library, the knowledge path
includes information on (and links to) Web sites and electronic
publications, databases, electronic newsletters and online discussion
groups, journal articles, and print publications. It is intended for use
by health professionals, policymakers, researchers, and families who are
interested in tracking timely information on this topic. The knowledge
path is available at ... lpreg.html.

MCH Library knowledge paths on other maternal and child health topics are
available at The MCH
Library welcomes feedback on the usefulness and value of these knowledge
paths. A feedback form is available at



Prototype Notebook: Short Questions on Dietary Intake, Knowledge,
Attitudes, and Behaviors provides a compendium of 128 survey questions
used in previous research to assess dietary knowledge, attitudes, and
behaviors among adults (ages 18 and older) with low incomes. The report
was prepared by Mathematica Policy Research, Inc., under a cooperative
agreement with the U.S. Department of Agriculture's Economic Research
Service (ERS). Information for the report was drawn from an inventory and
evaluation of available questions reported in the research literature.
Each question is presented using a common template including the
citations, data sources, and characteristics. Topics include fruit and
vegetables; grains, legumes, and fiber; variety; fat; calcium food
sources; nonalcoholic beverages; and knowledge, attitudes, and behaviors.
The report is part of a larger ERS research effort to develop a common set
of questions to assess the dietary behavior impact of food stamp nutrition
education on Food Stamp Program participants. The report is available at



Business Backs Breastfeeding: A Flexible Workplace Program for
Breastfeeding Mothers is a resource kit containing instructions, tips, and
template materials to help employers support workplace lactation programs.
The Business Backs Breastfeeding program was developed by Ross Products
Division of Abbott Laboratories in consultation with lactation specialists
and was reviewed by medical and nutrition experts. The program is based on
a model that has been tested in a variety of workplace settings. Ross has
partnered with the Families and Work Institute and Working Mother Media to
promote and distribute the kit, which is intended for use by business
owners, executive decision makers, and human resource professionals, as
well as health professionals and policymakers, in their efforts to support
mothers who breastfeed their infants. The kit and other breastfeeding
resources are available at or Backs Breastfeeding.pdf.



Bursting at the Seams: Improving Patient Flow to Help America's Emergency
Departments identifies eight factors for improving hospital emergency
department (ED) overcrowding. Information for the report was drawn from
findings of the Urgent Matters Learning Network, a national initiative of
the Robert Wood Johnson Foundation in partnership with George Washington
University's Center for Health Services Research and Policy. As part of a
year-long demonstration project, 10 hospitals in the learning network
developed and implemented a variety of strategies designed to improve
patient flow and to reduce ED crowding. Regardless of the strategy
implemented, a handful of key internal factors were found to be critical
for success. The report presents information on the critical success
factors, building a framework for change, strategies for improving patient
flow, selected success stories, and conclusions. It is available at ... eSeams.pdf.



"The number of Americans who express little or no confidence in charitable
organizations increased significantly between July 2001 and May 2002, and
remains virtually unchanged to this day," states the author of a fact
sheet released by the Brookings Institution. The fact sheet presents data
and analysis on public confidence in the performance of charitable

Data for the analysis were drawn from a series of random sample, telephone
surveys conducted by the Independent Sector and by Princeton Survey
Research between July 2001 and August 2004.

The author found that

* Confidence has remained relatively fixed for more than 2 years, with
just 15% of Americans expressing a great deal of confidence.

* Americans do not question whether charitable organizations have the
right priorities. Rather, many wonder whether the organizations have the
right organizational and fiduciary systems. For example, in an October
2003 survey, only 17% of respondents said these organizations had the
wrong priorities, while 70% said they were inefficient.

* Americans continue to have significant doubts about charitable
performance in four key areas. Although 31% say charitable organizations
do a very good job of helping people, only 19% give them the same grade
for running their programs and services, 17% for being fair in their
decisions, and just 11% for spending money wisely.

* According to the survey, spending money wisely remains charitable
organizations' greatest weakness. As of August 2004, 19% of Americans said
charitable organizations did not do too good a job in this key area, and
7% said the job was not at all good.

The author concludes that "the [nonprofit] sector does not need to invest
its scarce resources in convincing Americans that charities make miracles
every day -- Americans already believe it. Rather, philanthropies, donors,
boards, and executive directors would be wise to invest in the core
capacity needed to assure the highest level of organizational

Light P. 2004. Fact sheet on the continued crisis in charitable
confidence. Washington, DC: Brookings Institution Press; available at ... 040913.pdf.

Readers: Sustaining Nonprofit Performance: The Case for Capacity Building
and the Evidence to Support It, a book written by the author of the fact
sheet, was released by the Brookings Institution Press concurrently with
the fact sheet. In the book, the author demonstrates how nonprofits that
invest in technology, training, and strategic planning can successfully
advance their goals and restore public faith in their mission and
capabilities. A brief description of the book, as well as order
information, is available at ... rmance.htm.



"Information prescriptions are associated with specific parental attitudes
and behavior changes, resulting in increased Internet utilization for
general and child health information and for specific high-quality
information resources," state the authors of an article published in the
September 2004 issue of the Archives of Pediatrics and Adolescent
Medicine. The authors write that the Internet is now a mainstream
information tool and that parents represent almost 45 million online users
in the United States today. The goal of the study described in this
article was to determine whether an information prescription (IP) given by
a primary care pediatrician would change the attitudes and/or behaviors of
parents in terms of their use of Internet health information resources. An
IP is the prescription of focused, evidence-based information to a patient
at the right time to manage a health problem.

The study was a randomized controlled trial of 197 parents who visited a
Midwest academic medical center. Both control and intervention group
parents completed a pre-intervention survey. Intervention group parents
received hands-on training in using the Internet to search for answers to
child health questions. They also received a handout containing a brief
description of the training and a list of community locations for computer
access. During clinic visits, intervention parents received an IP with
recommended Web sites. Both control and intervention parents were
contacted by telephone approximately 2 to 3 weeks after their clinic

The authors found that

* The control and intervention groups were not significantly different on
any of the demographic variables assessed.

* Overall, 68% of the parents had used the Internet in the past 6 months
for any health information, and 52.8% had used it for children's health

* At follow-up, intervention parents reported using IP Web sites
recommended by the pediatrician for 51 out of 70 total uses.

* At follow-up, intervention parents reported using the Internet more than
control parents for general health information and child health

* During the follow-up period, 32% of intervention parents reported using
the IP.

* IP users went to the Internet more frequently than IP nonusers for
general health information and child health information.

* IP users were more likely than nonusers to state that they would use the
IP again in the future and had already recommended the IP resources to
family or friends during the follow-up period more than IP nonusers.

The authors conclude that "pediatricians should be prepared to ask
questions about Internet use and offer guidance to high-quality Internet
health information resources using IPs or other educational

D'Alessandro DM, Kreiter CD, Kinzer SL, et al. 2004. A randomized
controlled trial of an information prescription for pediatric patient
education on the Internet. Archives of Pediatric and Adolescent Medicine


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MCH Alert © 2004 by National Center for Education in Maternal and Child
Health and Georgetown University. MCH Alert is produced by MCH Library
Services at the National Center for Education in Maternal and Child Health
under its cooperative agreement (6U02 MC 00001) with the Maternal and
Child Health Bureau, Health Resources and Services Administration, U.S.
Department of Health and Human Services. The Maternal and Child Health
Bureau reserves a royalty-free, nonexclusive, and irrevocable right to use
the work for federal purposes and to authorize others to use the work for
federal purposes.

Permission is given to forward MCH Alert to individual colleagues. For all
other uses, requests for permission to duplicate and use all or part of
the information contained in this publication should be sent to MCH Alert
Editor, National Center for Education in Maternal and Child Health, at

The editors welcome your submissions, suggestions, and questions. Please
contact us at the address below.

EDITORS: Jolene Bertness, Tracy Lopez

National Center for Education in Maternal and Child Health
Georgetown University
Mailing address: Box 571272, Washington, DC 20057-1272
Street address: 2115 Wisconsin Avenue, N.W., Suite 601, Washington, DC
Phone: (202) 784-9770
Fax: (202) 784-9777
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