Linking Practice and Community Through a Focus on Capability (Text Ver

Slide Presentation from the AHRQ 2011 Annual Conference

Slide presentation from the AHRQ 2011 conference.

Linking Practice and Community Through a Focus on Capability

Slide Presentation from the AHRQ 2011 Annual Conference

On September 20, 2011, Robert Lewis Ferrer made this presentation at the 2011 Annual Conference. Select to access the PowerPoint® presentation (13.4 MB). Plugin Software Help.

Slide 1

Text Description is below the image.

Linking Practice and Community Through a Focus on Capability

Robert L. Ferrer, MD, MPH
Dept. of Family & Community Medicine
University of Texas Health Science Center at San Antonio

Slide 2

Text Description is below the image.

A Medical Assistant-Based Program to Promote Healthy Behaviors in Primary Care

  • Robert Ferrer, MD, MPH.
  • Sherrie Gott, PhD.
  • Priti Mody-Bailey, MD, MA.
  • Carlos Ja�n, MD, PhD.
  • Sara Araujo, BA.
  • Melissa Talamantes, MS.

Annals of Family Medicine 2009;7:544-512.

Slide 3

Text Description is below the image.

Service Outcomes: % Attending Interventions

 

Interven.

Control

Difference

P

Smoking

75.328.646.7<.001

EtOH

000 

Diet

60.622.338.3<.001

Activity

75.026.348.7<.001

Any

67.421.845.6<.001

Slide 4

Text Description is below the image.

Behavioral Outcomes: % of Pts Improved

 

Interven.

Control

Difference

P

Smoking

25.021.5  3.50.40

EtOH

33.314.219.10.04

Diet

16.111.1  5.00.60

Activity

25.037.5-12.50.64

Any

21.716.9  4.80.26

Slide 5

Text Description is below the image.

"Capability"

  • The practical opportunities to live the life one wishes.

Slide 6

Text Description is below the image.

Capability Model

Inputs (Means to achieve):

  • Available goods & services.
  • Community resources.
  • Income and other assets.
  • Built environment.

Conversion factors:

  • Literacy.
  • Functional status.
  • Social support.
  • Autonomy.
  • Respect.

Capability Set (Freedom to achieve):

  • Opportunity set of achievable functioning.

Choice:

Achieved functioning (Achievement).

Adapted from Robeyns, 2005.

Slide 7

Text Description is below the image.

  • Q: Why can't you go walking?
  • A: Because I don't know how to drive.

Slide 8

Text Description is below the image.

Physicians' Advice on Healthy Behaviors

 

%

Doctor encourages healthy eating

93.8

Doctor encourages physical activity

93.5

Doctor understands how hard to be physically active

56.8

Doctor understands how hard to eat healthy

37.3


Slide 9

Text Description is below the image.

Opportunities for Healthy Behaviors

 

%

Available fruit & vegetables where I shop

95.9

Easy to get to food store

85.6

Local fruit & vegetables of high quality

74.3

Can afford fresh fruit & vegetables

69.9

Can afford lean meat & fish

57.0

Nearby outdoor physical activity

71.9

Easy to walk places in neighborhood

57.2

Nearby indoor physical activity

49.8

Feel safe walking after dark

27.3

Slide 10

Text Description is below the image.

Barriers to Healthy Behaviors

 

%

Partner sometimes forbids physical activity

14.0

Partner sometimes refuses healthy foods

30.6

Too tired to cook own meals

32.2

Care of family leaves little time for physical activity

35.3

Not treated with respect

38.6

Illness gets in way of physical activity

55.5

Feeling depressed keeps from physical activity

56.4

Can’t afford groceries over whole month

70.8

Slide 11

Text Description is below the image.

Multiple Vulnerabilities: Healthy Eating

1. No grocery in neighborhood.
2. Groceries too expensive over whole month.
3. Little time to prepare own meals.
4. Family doesn't allow to eat recommended foods.

81.2% have 2 or more

# present

% of sample

0

3.1

1

15.8

2

29.8

3

40.4

4

11.0

Slide 12

Text Description is below the image.

Image: A school is shown.

Slide 13

Text Description is below the image.

Image: A whiteboard is shown.

Slide 14

Text Description is below the image.

Image: Fruits, vegetables, and juices are shown.

Slide 15

Text Description is below the image.

Image: A pot of soup is shown.

Slide 16

Text Description is below the image.

Image: Two doors are shown.

Slide 17

Text Description is below the image.

Image: A number of computers are shown.

Current as of December 2011

Internet Citation:

Linking Practice and Community Through a Focus on Capability. Slide Presentation from the AHRQ 2011 Annual Conference (Text Version). December 2011. Agency for Healthcare Research and Quality, Rockville, MD. http://www.ahrq.gov/about/annualconf11/assaf_adams_ferrer/lewisferrer.htm

Current as of March 2012
Internet Citation: Linking Practice and Community Through a Focus on Capability (Text Ver: Slide Presentation from the AHRQ 2011 Annual Conference. March 2012. Agency for Healthcare Research and Quality, Rockville, MD. http://www.ahrq.gov/news/events/conference/2011/ferrer/index.html