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In July 2020, The University of Texas at Arlington (UTA) Libraries began work towards building a more equitable, diverse, and inclusive organization. One of the ways in which the organization set out to achieve this goal is through the digitization of materials by and about underrepresented and diverse peoples as well as the accurate representation of these individuals and groups in our metadata. This paper describes how the UTA Libraries' Committee for Metadata and Digitization approached this charge through the creation of three subgroups. There is discussion of the committee's goals and processes, an evaluation of progress toward meeting objectives, plans for sustaining this work, and a list of proposed strategies for other institutions interested in implementing similar efforts. [ABSTRACT FROM AUTHOR]

An editorial is presented on American Occupational Therapy Association's AOTA INSPIRE 2022 Annual Conference & Expo in San Antonio, Texas. Topics include attending the continuing education seminars, scientific research and technology panels, posters, short courses, tech labs, workshops and special events; and factors associated with requesting accommodations among people with multiple sclerosis, musculoskeletal disorders among sonographers, and veterinary healthcare professions.

Fatalities from drug-induced overdoses in the United States have taken greater than 292,000 lives in the last five years, and nearly two-thirds of these are opioid-related. The burden on prehospital emergency medical services (EMS) to respond to these incidents is growing. The standard of care typically involves overdose reversal and rapid transport, although a few agencies have begun to use community paramedicine to more proactively follow-up, initiate treatment, and refer patients to addiction medicine providers. Methods: In this manuscript we share the details of an outreach case study to serve as a blueprint for other agencies and municipalities to adopt and refine. The University of Texas Health Science Center, in partnership with the Houston Fire Department and other local first responder agencies, developed a program in Houston, Texas based on rapid response to post-overdose survivors using available incident data from the primary municipal agencies. Results: The Houston Emergency Opioid Engagement System (HEROES) was created to more comprehensively address the opioid epidemic. By utilizing data extracted from the patient care record system, a team comprised of a peer recovery coach and a paramedic is dispatched to the home location of a recent overdose (OD) incident to provide outreach. Conclusions: Outreach dialog and motivational interviewing techniques are used to provide awareness of treatment options and to engage individuals into a treatment program. A case report of this program and recommendations for broader adoption are presented. [ABSTRACT FROM AUTHOR]

Introduction: The use of mobile health technology has the potential to increase healthcare accessibility, promote self-management, provide education materials, and support self-monitoring of biometrics. This may be of particular benefit to those living in the community with chronic neurological conditions. The purpose of this research was to characterize perspectives of individuals with brain injury or stroke, their care partners, and neuro-rehabilitation clinicians to inform the design of mobile health app-based interventions that address the need for ongoing community-based health-related professional support. Methods: Individuals with stroke or traumatic brain injury, their care partners, and clinicians were recruited from a large university hospital with a specialized neuro-rehabilitation program. Data were collected via semi-structured focus groups and were examined using descriptive statistics and content analysis. Results: Five consistent themes emerged: (a) all-in-one app with customized features; (b) communication with healthcare providers; (c) cognitive strategies; (d) app accessibility; and (e) user education. The clinician focus group reiterated these consumer focus group themes, with one additional theme: (f) logistics of clinician time and effort to provide effective app-based services to patients. Conclusions: Results have directly informed the ongoing development of a community-based mobile health app intervention, and may also inform the content and design of future mHealth technological development in this population. [ABSTRACT FROM AUTHOR]

Objectives: This study sought to determine the impact of Healthy Families Healthy Futures (HFHF) enhanced with Steps to Success (STS). HFHF is a structured home visiting program for teen parents in Houston that focuses on improving parenting skills and preventing child abuse. HFHF enhanced with STS includes content and activities aimed to reduce repeat pregnancies within 24 months after the first child's birth. Methods: The study team recruited 248 young mothers for the study, primarily through local health clinics and schools, and then randomly assigned them to either a treatment group that was eligible to participate in HFHF enhanced with STS or to a control group. The control group was not offered any other program through the study. Outcomes were measured by a survey administered 12 months after program intake, in five domains aligned with the program's logic model: (1) exposure to information related to program content, (2) contraception knowledge, (3) contraception use, (4) enhanced family functioning, and (5) child health and development. To estimate program impacts, we used ordinary least squares regression, controlling for demographics and baseline measures of the outcome variables, if available. We use both frequentist approaches (calculations of statistical significance) and Bayesian posterior probabilities to interpret the findings. Results: HFHF enhanced with STS significantly (p <.05) impacted exposure to information on parenting and birth control, with effects of 20.8 and 15.4 percentage points, respectively. Using Bayesian posterior probabilities, there is an 85% chance that the program had a favorable effect on these outcomes. We also calculate a probability of 77% that the program had a favorable impact on long-acting reversible contraceptive (LARC) use, but a probability of 89% that the program reduced knowledge of birth control pills; these two results were not statistically significant (p =.17 and.10, respectively). Conclusions for Practice: These findings are primarily favorable and consistent with the program content and goals. Smaller than anticipated sample sizes due to recruitment challenges increased the chances for random error to affect the ability to detect statistically significant differences on many of our other outcomes; Bayesian posterior probabilities can therefore aid in interpreting the impact estimates. More research of this promising model is warranted. [ABSTRACT FROM AUTHOR]

This article presents findings from a comparison of electronic resources troubleshooting tickets submitted during a one-year period at Texas A&M University and University of Tennessee Knoxville. The authors used a classification previously developed by Mark Hemhauser and Rebecca Goldfinger at University of Maryland, College Park to categorize the types electronic resources access problems reported at their respective institutions. The findings suggest that academic libraries deal with similar electronic resources access problems at a similar rate. The authors recommend adopting this classification to categorize types of electronic resources access problems profession-wide in order to increase efficiency in reporting and resolving electronic resources access problems. [ABSTRACT FROM AUTHOR]

The number of seniors over age 65 aging at home is increasing. They require usable health information to make informed decisions to maintain health and independence. This study partnered with Meals On Wheels, Inc., of Tarrant County, Texas, to assess the homebound over age 65 population's ability to use of National Network of Libraries of Medicine online health information. Only 1% of participants utilized online resources and only 8% of available resources met their needs. Recommendations included using community outreach to extend online formatting, applying AHRQ's "Health Literacy Universal Precautions," to online information, or improving seniors' eHealth skills and access. [ABSTRACT FROM AUTHOR]

Objective Guided by the Uses and Gratifications approach, to examine mothers' use and preference of e-Health media, and associated contextual factors. Design and Sample Cross-sectional survey of 165 mothers (White, African-American, and Hispanic) from a stratified random sample. Measures Use of online media about mother -baby care; favorite websites about motherhood and best-liked features of Web sites; channel preferences (Web site, postal mail, text) for receiving three types of health information; and contextual factors, e.g., education. Results Media use ranged from 96% for health information searches about babies to 46% for YouTube viewing about mother -baby topics. Contextual factors, such as education, were associated with media use. Babycenter was the most frequently reported favorite Web site and rich, relevant information was the best-liked feature. Across three health topics (weight, stress/depression, parenting) mothers preferred receiving information by Web site, followed by postal mail and least by text messaging (χ2 statistics, p < .001). Stress and race/ethnicity were among factors associated with preferences. Conclusions Mothers widely used e-Health related media, but use was associated with contextual factors. In public health efforts to reach new mothers, partnering with mother-favored Web sites, focusing on audience-relevant media, and adopting attributes of successful sites are recommended strategies. [ABSTRACT FROM AUTHOR]

Low health literacy remains an extremely common and problematic issue, given that individuals with lower health literacy are more likely to experience health challenges and negative health outcomes. In this study, we use the first three stages of the innovation-decision process found in the theory of diffusion of innovations (Rogers, 2003). We incorporate health literacy into a model explaining how perceived health knowledge, information sharing, attitudes, and behavior are related. Results show that health information sharing explains 33% of the variance in behavioral intentions, indicating that the communicative practice of sharing information can positively impact health outcomes. Further, individuals with high health literacy tend to share less information about heart health than those with lower health literacy. Findings also reveal that perceived heart-health knowledge operates differently than health literacy to predict health outcomes. [ABSTRACT FROM PUBLISHER]