Of the 1.6 billion people with hearing loss worldwide, over 1.2 billion live in underserved communities with the least access to hearing care. This includes preventable hearing loss in an estimated 42 million children who, without early identification and treatment, are at increased risk of significant detrimental effects that can last a lifetime.…

Primary Project (formerly known as Primary Mental Health Project) is one of the longest standing and well-established school-based preventative mental health interventions for addressing the social, emotional, behavioral, and learning needs of preschool through primary grade children. Existing now for over 60 years and building on its historical…

Background: Influenza is a major cause of seasonal viral respiratory illness among school-aged children. Accordingly, the Arkansas Department of Health (ADH) coordinates >800 school-based influenza immunization clinics before each influenza season. We quantified the relationship between student influenza vaccination in Arkansas public schools…

Purpose of the study: To examine (a) whether the content of caregiving tasks (i.e., nursing vs. personal care) contributes to variation in caregivers' strain and (b) whether the level of complexity of nursing tasks contributes to variation in strain among caregivers providing help with such tasks. Design and methods: The data came from the Cash…

The purpose of this study was to identify the unique health related needs of the Chinese international student (N = 91) and identify barriers to utilization of the available health care services on the university campus. The setting was a university campus in Arkansas which had an overall enrollment of 8864 students on the main campus during the…

Purpose: To determine the association between sleep duration and depressive symptoms in a rural setting. Methods: We conducted a cross-sectional study using data from Wave 3 of the Walk the Ozarks to Wellness Project including 12 rural communities in Missouri, Arkansas, and Tennessee (N = 1,204). Sleep duration was defined based on average…

Using data collected from 147 predominately African American senior citizens in Arkansas, this research examined the Illness Intrusiveness Model (Devins, 1991; Devins & Seland, 1987; Devins & Shnek, 2000) to explain variations in wellness specifically related to participants' adaptation to diabetes. The theoretical model hypothesized that…

Research studies report a negative relationship between employment and secondary conditions. Access to health promotion programs to manage secondary conditions, however, is limited for people with disabilities due to employment, financial, and insurance barriers. Vocational rehabilitation (VR) is one possible delivery point to overcome these…

Purpose: Previous research from the Cash and Counseling Demonstration and Evaluation (CCDE) in Arkansas, New Jersey, and Florida suggests that giving consumers control over their personal care greatly increases their satisfaction and improves their outlook on life. Still, some argue that consumer-directed care may not be appropriate for consumers…

Purpose: We assess the effect of consumer-directed care on the emotional, physical, and financial well-being of the primary informal caregivers of the Medicaid beneficiaries who voluntarily joined Arkansas's Cash and Counseling demonstration. Design and Methods: The demonstration randomly assigned beneficiaries to a program in which they could…

School preparedness includes the possibility of a natural disaster, but recent events also confirm a need for preparedness and prevention efforts for intentional mass casualty incidents (MCIs). This survey examined the preparedness for the prevention and response for MCIs at public schools in Arkansas. This survey demonstrated that most school…

The relationship between student health and learning is receiving increasing attention. Many communities are placing health care providers within public schools. The article describes Arkansas' experiences using school-based clinics, noting everyone's roles and responsibilities. Arkansas has demonstrated that children's health care needs can be…

The components of a professional development model designed to empower school nurses to become leaders in school health services is described. The model was implemented during a 3-day professional development institute that included clinical and leadership components, especially coalition building, with two follow-up sessions in the fall and…