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What Have PRCHN Faculty and Staff Been up To?
Evaluation of a Peer-to-Peer Approach to Improve the Reach of Farmers’ Markets among Low-income Populations.  Darcy Freedman, Eunlye Lee, Susan Flocke, Rachael Sommer, Erika S. Trapl, Amanda Osborne, Elaine BorawskiHealth Behavior Research. Vol. 2: No. 1. https://doi.org/10.4148/2572-1836.1034
What is this article about?
Farmers’ markets have been implemented to improve access to nutritious foods, yet use is low among people receiving Supplemental Nutrition Assistance Program (SNAP) benefits. This study’s objectives were to assess the feasibility of implementing the FreshLink Ambassador intervention to promote use of farmers’ markets located in high SNAP neighborhoods, describe information dissemination by Ambassadors, and evaluate intervention impact on SNAP use. The theory-based and data-driven intervention trained nine community residents as FreshLink Ambassadors in 2017; eight completed the study. Ambassadors conducted weekly outreach disseminating coupons to promote use of three intervention markets. Four comparison markets were selected to evaluate impact on SNAP use. Findings provide evidence that implementation of the peer-to-peer outreach approach was feasible and coupon redemption rates exceeded industry standards indicating the “product” promoted by FreshLink Ambassadors was considered advantageous. Future research is warranted to evaluate different strategies intended to promote social access to farmers’ markets within a broader agenda to advance health equity.
A comparison of methods to measure daily cigarillo consumption among adolescents and young adults. Elizabeth Antognoli, Karen J Ishler, Erika Trapl, Susan A Flocke. Tobacco Control. Epub ahead of print. January 2019. http://dx.doi.org/10.1136/tobaccocontrol-2018-054745

What is this article about?
Cigarillo use is widespread among young people. Accurate assessment of cigarillo consumption is necessary to inform and evaluate tobacco research, but is complicated by product sharing and irregular use. This study compares a conventional approach with a detailed approach for measuring cigarillo consumption.
Experiences and perspectives on the return of incidental findings among genetic epidemiologists. Stein CM, Ponsaran R, Trapl ES, Goldenberg AJ. Genet Med. 2018 Nov 23. doi: 10.1038/s41436-018-0369-x. [Epub ahead of print]
What is this article about?
While there has been a recent increase in scholarship around developing policies for the return of results from genetic sequencing, it is not clear whether these approaches are appropriate for genetic epidemiology studies. Because genetic epidemiological research increasingly utilizes genome sequencing methods, particularly in large data sets where researchers did not directly ascertain the subjects, it is important to understand researchers' perspectives on the return of results. We conducted an online survey of members of the International Genetic Epidemiology Society to document the diversity of experiences and impressions regarding return of results. The survey contained both closed and open-ended questions. Among our respondents who enroll their own research participants, only 21% return secondary findings. Most respondents do not search their sequence data for clinically actionable findings not associated with their disease of interest. Many feel that genetic epidemiologists have a unique perspective on the return of results and that research studies should not follow the same procedures as clinical sequencing studies. Precision medicine initiatives that rely on both clinical and "big data" genomic research should account for variation in researcher perspectives and study design limitations when developing policies and standard practices regarding the return of results. 
Trapl ES, Smith S, Joshi K, Osborne A, Benko M, Matos AT, et al. Dietary Impact of Produce Prescriptions for Patients With Hypertension. Preventing Chronic Disease 2018;15:180301. DOI: http://dx.doi.org/10.5888/pcd15.180301 
What is this article about?
Little is known regarding the impact of produce prescriptions within the context of hypertension visits at safety net clinics. We evaluated intervention effectiveness on patient usage of farmers markets and dietary change related to fruit and vegetable consumption. Health Improvement Partnership-Cuyahoga worked with 3 clinics to integrate, implement, and evaluated a produce prescription for hypertension (PRxHTN) program. PRxHTN involves 3 monthly, nonphysician provider visits, comprising blood pressure measurement, nutrition counseling, and four $10 farmers market produce vouchers, for hypertensive adult patients screening positive for food insecurity. PRxHTN participants visited at least 1 farmers market, reported increases in provider communication related to diet, and exhibited significant changes in dietary behavior. PRxHTN can serve as a strong model for linking safety net clinics with farmers markets to promote community resource use and improve fruit and vegetable consumption among food-insecure patients with hypertension. 
Indicators of Readiness and Capacity for Implementation of Healthy Eating Strategies in Child Care Settings Serving Low-Income Children. Allison A. Parsons, Madalena Monteban, Eunlye Lee, Pat Bebo, Ana Claudia Zubieta, Sarah Ginnetti, Julie Hewitt, Darcy Freedman. Journal of Nutrition Education and Behavior. Online 11/8/2018. [Epub ahead of print]  

Creating Greater Destinies: Results of a Resident-led Approach to Health Equity in Greater Cleveland. Briana Mcintosh, MPH, Anna Thornton Matos, MPH, Erika S. Trapl, PhD, Delores Collins, Erika Hood, M.Ed, Michele Benko, MS, RD, LD, Kakul Joshi, MPH, and Elaine A. Borawski, PhD. poster presentation. American Clinical and Translational Science Conference, March 2019, Washington, DC. 
HIP-Cuyahoga: Partnering to increase access and create opportunities for healthy eating, physical activity, and quality chronic disease care in under-resourced communities Michele Benko, MS, RD, LD; Samantha Smith, MA, MS; Anna Thornton Matos, MPH; Shari Bolen, MD, MPH; Kakul Joshi, MPH; Jonathan Lever, MPH, NRP; Wanda Ali-Matlock, RN, BS, MBA, FAACM, PCMH CCE; Briana Mcintosh, MPH; Erika Hood, M.Ed; and Erika S. Trapl, PhD. American Public Health Association Annual Meeting, November 2018, San Diego, CA.

Creating Greater Destinies: Results of a Resident-led Approach to Health Equity in Greater Cleveland. Briana Mcintosh, MPH; Anna Thornton Matos, MPH; Erika S. Trapl, PhD; Delores Collins; Erika Hood, M.Ed; Michele Benko, MS, RD, LD; Kakul Joshi, MPH; and Elaine A. Borawski, PhD. American Public Health Association Annual Meeting, November 2018, San Diego, CA.

Conquering CLABSI: An Evaluation of Central Line-Associated Bloodstream Infection-Control Huddles at One of the Nation's Leading Healthcare Organizations. Hannah Johnson, BA, MPH candidate; Karen Mulloy, DO, MSCH; Karen Boyd, RN; and Carol Gifford, MSN, RN, CPHQ. American Public Health Association Annual Meeting, November 2018, San Diego, CA.

Predictors of Supplemental Nutrition Assistance Program Use at Farmers' Markets with Produce Incentive Programming. Darcy Freedman, MPH, PhD; David Ngendahimana, MS; En-Jung Shon, MSW; Kathryn Merritt, MPH; and Julia Pon, MCP. American Public Health Association Annual Meeting, November 2018, San Diego, CA.

Bipolar Disorder in Later Life. Martha Sajatovic, MD. Psych Congress Annual Meeting. Orlando, Florida, October 2018.

Breathe free: Partnering with 2-1-1 to increase smoking cessation among low income smokers. Erika Trapl, PhD. Poster presentation. 11th Annual Conference on the Science of Dissemination and Implementation. Washington, DC. December 2018.

School-Based Retail Environment Exposures and Youth Cigarette, Cigar, and e-Cigarette Use. Erika Trapl, PhD. Society for Research on Nicotine & Tobacco (SRNT) Annual Meeting, San Francisco, CA. February 2019.
Awards and Other Activities
The PRCHN will receive the 2019 Ohio Academy of Nutrition and Dietetics Outstanding Contribution Award.  This award is issued to a non-member who has shown stellar support for the dietetic profession in providing tools for optimal health and nutrition well being in our state.  We are grateful to Jennifer Kerner and Laura Moore of the Recognition committee of the Greater Cleveland Academy of Nutrition and Dietetics who nominated the PRCHN for this commendable award. The PRCHN will be recognized during the Ohio Academy of Nutrition and Dietetics' (OAND) 2019 Annual Conference, May 2-3 in Cincinnati, Ohio. Awards will be presented during the General Session on May 2nd at the Cincinnati Zoo and Botanical Garden. 
Director of Adolescent Surveillance and Evaluation Jean Frank, MPH, attended in the New Field Instructor & Task Supervisor Training sponsored by the Mandel School of Applied Social Sciences (MSASS). Internship Coordinator Maddie Castele, and FreshLink Program Manager Rachael Sommer hosted a table at the Mandel School Field Placement Fair for potential field placements of MSASS students in the PRCHN.

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