Elizabeth A. Baker's research while affiliated with Saint Louis University and other places

Publications (112)

Article
Background: Patients with skin of color (P-SOC) are disproportionately burdened by lupus and often have worse disease outcomes than white patients. This is partly because educational materials underrepresent P-SOC, thereby promoting unconscious bias and clinical deficiencies among practitioners. Purpose: We sought to measure providers' confidence i...
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Objective The purpose of this manuscript is to detail development and initial usability testing of an e-toolkit designed to provide skills and knowledge around self-management behaviors for individuals living with systemic lupus erythematosus. Methods Researchers worked with a steering committee of patients and providers to (1) develop a clickable...
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The Engage for Equity (E2) study is an intervention trial for community–academic research partnerships that seeks to improve partnering practices and health equity outcomes by providing community and academic partners with tools to enhance and advance power sharing and health equity. Twenty‐five community/academic research teams completed a two‐day...
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Objective Medication nonadherence contributes to worse health outcomes among systemic lupus erythematosus (SLE) patients. The underlying mechanisms which drive medication nonadherence are poorly understood. The purpose of this study is to explore possible mechanisms of medication nonadherence through eliciting patient experiences. Methods Consente...
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Objective: The objective of this study was to develop a measurement tool to capture local public health department (LHD) organizational characteristics that align with implementation of equity-oriented practice, which may be used to gauge progress in building public health structures and functions that address the needs of vulnerable populations a...
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Objective The clinical variability of systemic lupus erythematosus (SLE) caused by the unpredictability of flares contributes to patients experiencing a diminished sense of social support. Digital health interventions (DHI) have potential to improve patients’ social support but have yet to be studied extensively in SLE. Our objective was to assess:...
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This study examines the factors that are likely to influence emergency managers’ willingness and ability to report to work after a catastrophic event using the Cascadia Subduction Zone earthquake threat as an example. The population approached for participation in this study was state-level emergency managers in Oregon and Washington, the areas ant...
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Objective: The objective of this study was to assess facilitators, barriers, and capacities to use of evidence-based programs and policies (EBPPs) in local health departments (LHDs). Design: A qualitative study design was used to elicit a contextual understanding of factors. One-hour interviews were conducted among directors and diabetes/chronic...
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Community-based participatory research has a long-term commitment to principles of equity and justice with decades of research showcasing the added value of power-sharing and participatory involvement of community members for achieving health, community capacity, policy, and social justice outcomes. Missing, however, has been a clear articulation o...
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Objective:: Since 2002, a course entitled 'Evidence-Based Public Health (EBPH): A Course in Noncommunicable Disease (NCD) Prevention' has been taught annually in Europe as a collaboration between the Prevention Research Center in St Louis and other international organizations. The core purpose of this training is to strengthen the capacity of publ...
Conference Paper
Background A hallmark of SLE is the paroxysmal disease course with symptoms fluctuating unpredictably both across different individuals and within individual cases. Importantly, the patient-specific experience of living with SLE is underreported, particularly when studying factors associated with health-related quality of life (HRQOL). Recent work...
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Objective The patient‐specific experience of living with systemic lupus erythematosus (SLE) is underreported, particularly when studying factors associated with health‐related quality of life (HRQOL). Recent work has suggested that biomedical interventions are only partially predictive of HRQOL measures. A qualitative analysis of patient‐specific e...
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Objectives: To determine the extent to which US local health departments (LHDs) are engaged in evidence-based public health and whether this is influenced by the presence of an academic health department (AHD) partnership. Methods: We surveyed a cross-sectional stratified random sample of 579 LHDs in 2017. We ascertained the extent of support fo...
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Background The rates of diabetes and prediabetes in the USA are growing, significantly impacting the quality and length of life of those diagnosed and financially burdening society. Premature death and disability can be prevented through implementation of evidence-based programs and policies (EBPPs). Local health departments (LHDs) are uniquely pos...
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Background: Schools are an important setting for improving behaviors associated with obesity, including physical activity. However, within schools there is often a tension between spending time on activities promoting academic achievement and those promoting physical activity. Methods: A community-based intervention provided administrators and t...
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Background The paper examines the role of community-based participatory research (CBPR) within the context of social justice literature and practice. Methods Two CBPR case studies addressing health inequities related to Type 2 Diabetes and Cardiovascular disease were selected from a national cross-site study assessing effective academic-community...
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Summer is a vulnerable time for 1 in 3 African American children who live in food insecure households. We examined the factors that affect food insecurity among African American households with children during the summer by rural and urban setting. We conducted concept mapping with 38 African American caregivers from rural and urban Missouri. Urban...
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Introduction: Cardiovascular disease is the leading cause of death among African Americans in the U.S., with high blood pressure and obesity being two of the main determinants. The Dietary Approaches to Stop Hypertension diet is effective in changing behaviors associated with these health concerns, but has not been adapted to community settings....
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Seasonal influenza has serious impacts on morbidity and mortality and has a significant economic toll through lost workforce time and strains on the health system. Health workers, particularly emergency medical services (EMS) workers have the potential to transmit influenza to those in their care, yet little is known of the factors that influence E...
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Background: Evidence-based public health gives public health practitioners the tools they need to make choices based on the best and most current evidence. An evidence-based public health training course developed in 1997 by the Prevention Research Center in St. Louis has been taught by a transdisciplinary team multiple times with positive results...
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Rural residents are less likely than urban and suburban residents to meet recommendations for nutrition and physical activity. Interventions at the environmental and policy level create environments that support healthy eating and physical activity. Healthier Missouri Communities (Healthier MO) is a community-based research project conducted by the...
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Higher rates of unemployment are found among African-American men in rural communities in the US. As part of a community-based participatory research project, we sought to identify characteristics of job-seeking networks of African-American and white employed and unemployed men and women in a rural community in Missouri. We collected cross-sectiona...
Conference Paper
INTRODUCTION: Pemiscot County, Missouri has one of the highest rates of food insecurity in the state with 1 in 4 households with children identified as food insecure. Rates for African American children tend to be disproportionately higher. Food insecurity during childhood is associated with poor health and developmental outcomes. Summer is a vulne...
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Background Preparing the public health workforce to practice evidence-based decision making (EBDM) is necessary to effectively impact health outcomes. Few studies report on training needs in EBDM at the national level in the United States. We report competency gaps to practice EBDM based on four U.S. national surveys we conducted with the state and...
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A national community-based participatory research (CBPR) team developed a conceptual model of CBPR partnerships to understand the contribution of partnership processes to improved community capacity and health outcomes. With the model primarily developed through academic literature and expert consensus building, we sought community input to assess...
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Background: In order to improve our understanding of the relationship between the built environment and physical activity, it is important to identify associations between specific geographic characteristics and physical activity behaviors. Purpose: Examine relationships between observed physical activity behavior and measures of the built environm...
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Chronic disease prevention efforts have historically been funded categorically according to disease or risk factor. Federal agencies are now progressively starting to fund combined programs to address common risk. The purpose of this study was to inform transitions to coordinated chronic disease prevention by learning views on perceived benefits an...
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African American (AA) men remain one of the most disconnected groups from health care. This study examines the association between AA men's rating of health care and rating of their personal physician. The sample included 12,074 AA men aged 18 years or older from the 2003 to 2006 waves of the Consumer Assessment of Healthcare Providers and Systems...
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Background: Cancer and other chronic diseases reduce quality and length of life and productivity, and represent a significant financial burden to society. Evidence-based public health approaches to prevent cancer and other chronic diseases have been identified in recent decades and have the potential for high impact. Yet, barriers to implement pre...
Article
Purpose: Rural residents are at greater risk of obesity than urban and suburban residents. Failure to meet physical activity and healthy eating recommendations play a role. Emerging evidence shows the effectiveness of environmental and policy interventions to promote physical activity and healthy eating. Yet most of the evidence comes from urban an...
Conference Paper
Background: Although there is growing evidence that physically active children perform better on tests and have improved classroom behavior, schools face challenges in providing the recommended amount of physical activity to students. Purpose: Healthier Missouri Communities, a community-academic partnership in rural southeast Missouri, is working w...
Article
Inadequate access is increasingly recognized as a contributor to low consumption of healthy foods. This article describes the process and lessons learned from creating rural community gardens and the benefits and challenges of moving a partnership's focus from individual and social strategies to an environmental intervention strategy.Data were coll...
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The Prevention Research Center in St. Louis developed a course on evidence-based public health in 1997 to train the public health workforce in implementation of evidence-based public health. The objective of this study was to assess use and benefits of the course and identify barriers to using evidence-based public health skills as well as ways to...
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There is increased recognition that the inequitable distribution of social determinants acts as a stressor that influences health outcomes. Men on the Move’s Leadership and Job Readiness (LJR) program was developed to improve employment opportunities and build leadership capacity for African American men living in a rural community. Pre-post questi...
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CONTEXT:: Physical inactivity is a major public health problem. While individual (eg, attitudes, values, beliefs) and social (eg, social support) factors play a role, access to an activity-safe local environment can have a significant influence. Environments that include accessible opportunities for physical activity, a component of livability, req...
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Active Living by Design (ALbD) partnerships were established to change environments and policies as well as support complementary programs and promotions to increase physical activity in 25 communities across the U.S. This paper summarizes the structural and functional aspects of partnerships identified as having a substantial influence on these in...
Conference Paper
Fruit and vegetable consumption reduces chronic disease risk, yet the majority of Americans consume fewer than the recommended 5 to 9 servings a day. Inadequate access to fresh produce is increasingly recognized as a significant contributor to low consumption of healthy foods. Emerging evidence shows the effectiveness of community gardens in increa...
Conference Paper
Rural African American communities have some of the highest rates of cardiovascular disease and obesity. Men on the Move (MOTM) is a community based participatory research project addressing individual, social and environmental factors contributing to these health risks. The individual level interventions include community-wide cooking demonstratio...
Conference Paper
RESEARCH OBJECTIVE: Health information seeking outside of the medical encounter has increased significantly. Patients seek health information to learn more about health conditions, assess symptoms, and to improve communication with health care providers. Men's health is a relatively new area of study. Consequently, the literature is sparse related...
Conference Paper
RESEARCH OBJECTIVE: Health information seeking and use are associated with positive health outcomes. An empowered patient is associated with better health status and medical adherence. Men's health continues to lag behind women's health, however men's health remains understudied. The aim of this study is to assess the differences by race in confide...
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Background Observational field audits are recommended for public health research to collect data on built environment characteristics. A reliable, standardized alternative to field audits that uses publicly available information could provide the ability to efficiently compare results across different study sites and time. Purpose This study aimed...
Data
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Survey instrument used in Kansas.
Data
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Survey instrument used in Mississippi.
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While increasing attention is placed on using evidence-based decision making (EBDM) to improve public health, there is little research assessing the current EBDM capacity of the public health workforce. Public health agencies serve a wide range of populations with varying levels of resources. Our survey tool allows an individual agency to collect d...
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Observational audits commonly are used in public health research to collect data on built environment characteristics that affect health-related behaviors and outcomes, including physical activity and weight status. However, implementing in-person field audits can be expensive if observations are needed over large or geographically dispersed areas...
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Within the realm of obesity prevention research, there have been many promising interventions to improve physical activity and nutrition among diverse target populations. However, very little information is known about the dissemination and replication of these interventions. In 2007 and 2008 as part of a larger obesity prevention initiative, Misso...
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Health disparities are a major concern in the United States. Research suggests that inequitable distribution of money, power, and resources shape the circumstances for daily life and create and exacerbate health disparities. In rural communities, inequitable distribution of these structural factors seems to limit employment opportunities. The Susta...
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This second edition of this text returns to the question: How much of our work in public health is evidence based? The exact answer to that question can never be known, however, the answer would certainly include the words "not enough". Public health has successfully addressed many challenges. Programs and policies have been implemented and, in som...
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Existing knowledge on chronic disease prevention is not systematically disseminated and applied. State-level public health practitioners are in positions to implement programs and services related to chronic disease control. To advance dissemination science, this study sought to evaluate how and why evidence-based decision making (EBDM) is occurrin...
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Objective Existing knowledge of evidence-based chronic disease prevention is not systematically disseminated or applied. This study investigated state and territorial chronic disease practitioners' self-reported barriers to evidence-based decision making (EBDM). Methods In a nationwide survey, participants indicated the extent to which they agreed...
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Existing knowledge of evidence-based chronic disease prevention is not systematically disseminated or applied. This study investigated state and territorial chronic disease practitioners' self-reported barriers to evidence-based decision making (EBDM). In a nationwide survey, participants indicated the extent to which they agreed with statements re...
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Since an overarching goal of Healthy People 2010 was to eliminate health disparities, we determined temporal trends in socioeconomic disparities in five breast-cancer indicators (in situ, stage I, lymph-node positive, and locally advanced breast-cancer incidence, and breast-cancer mortality) by county socioeconomic deprivation using 1988-2005 popul...