Paul A Estabrooks
Biographic Data
| ID | 1067670 |
|---|---|
| NAME | Paul A Estabrooks |
| GIVEN NAMES | Paul A |
| FAMILY NAME | Estabrooks |
| SIGNATURE | ESTABROOKS P A |
| AFFILIATIONS | University of Nebraska Medical Center |
| ORCID | 0000-0003-2261-9886 |
| VERIFIED | Yes |
| TOTAL WORKS | 39 |
| TOTAL CITATIONS | 8 |
| AUTHOR COUNT | 39 |
| EDITOR COUNT | 0 |
| FIRST PUBLICATION YEAR | 1997 |
| LATEST PUBLICATION YEAR | 2026 |
| H-INDEX | 2 |
A Delphi study to prioritize implementation strategies to increase the adoption of screening and referral for brain injury among survivors of intimate partner violence and sexual assault within commun…
Women who experience intimate partner violence (IPV) are at a high risk for injuries to the head, neck, and face that can result in a traumatic brain injury (BI). Despite increasing evidence of the high risk for BI in this vulnerable population, IPV-BI screenings remain critically under-implemented in community-based organizations (CBOs) serving IPV survivors. The aim of this community-engaged dissemination and implementation project was to co-id…
Identifying recruitment strategies to improve the reach of evidence-based health promotion, disease prevention, and disease self-management interventions: A scoping review
Introduction: Improving the reach of existing lifestyle interventions focused on health promotion, disease prevention, and self-management delivered in community or clinical settings has the potential to increase the public health impact of these interventions. However, little is known about the overall success of recruitment strategies or the specification of strategy components including the details of how, through which channel, and by whom th…
A randomized controlled trial to test the effectiveness of two technology-enhanced diabetes prevention programs in primary care: The DiaBeat-it study
Objective To evaluate the effectiveness of two technology-enhanced interventions for diabetes prevention among adults at risk for developing diabetes in a primary care setting. Methods The DiaBEAT-it study employed a hybrid 2-group preference (Choice) and 3-group randomized controlled (RCT) design. This paper presents weight related primary outcomes of the RCT arm. Patients from Southwest Virginia were identified through the Carilion Clinic elect…
Developing a dissemination and implementation research agenda for aging and public health: The what, when, how, and why
OPINION article Front. Public Health, 06 February 2023Sec. Aging and Public Health Volume 11 - 2023 | https://doi.org/10.3389/fpubh.2023.1123349
Urban Violence, Migration and Alcohol, Tobacco, and Marijuana Use among Transnational Students in Northern Mexico
This article reports on the findings of a study of the relationship between transnational experiences in the United States (US) and the use of alcohol, tobacco, and marijuana among 7th grade students ( n = 1418). The study was guided by a cross-national framework for research on immigrant health and assessed the accumulation of risk factors for transnational adolescents. Data came from a survey conducted in 2017 in Nogales, Mexico. In this study,…
Sustainability via Active Garden Education: The Sustainability Action Plan Model and Process
Sustainability of intervention programming is challenging to achieve under real world conditions, since few models exist and many studies do not plan far beyond the funding period. Programming content in early care and education centers (ECECs) is often driven by guidelines. However, implementation is very sensitive to contextual factors, such as the setting and implementer (teacher) characteristics. This paper presents the model, definitions, an…
Qualitative comparative analysis of the implementation fidelity of a workplace sedentary reduction intervention
ClinicalTrials.gov Identifier: NCT02566317 . Registered 2 October 2015, first participant enrolled 11 January 2016
Understanding and applying the RE-AIM framework: Clarifications and resources
Introduction: Understanding, categorizing, and using implementation science theories, models, and frameworks is a complex undertaking. The issues involved are even more challenging given the large number of frameworks and that some of them evolve significantly over time. As a consequence, researchers and practitioners may be unintentionally mischaracterizing frameworks or basing actions and conclusions on outdated versions of a framework. Methods…
Assets and Challenges to Recruiting and Engaging Families in a Childhood Obesity Treatment Research Trial: Insights From Academic Partners, Community Partners, and Study Participants
Background: There is need for the childhood obesity treatment literature to identify effective recruitment and engagement strategies for rural communities that are more likely to lack supportive infrastructure for healthy lifestyles and clinical research relative to their urban counterparts. This community case study examines recruitment and engagement strategies from a comparative effectiveness research (CER) trial of two family-based childhood …
Recruiting Low-Income African American Men in Mental Health Research: A Community-Based Participatory Research Feasibility Study
African Americans (AAs) are 20% more likely to develop serious psychological distress compared to Whites but are less likely to use mental health services. The study objective was to evaluate the effectiveness of recruitment strategies to engage AA fathers in a mental health intervention. Using the community-based participatory research (CBPR) approach, a community-academic partnership (CAP) developed and implemented direct and indirect referral …
Comparing, Contrasting, and Integrating Dissemination and Implementation Outcomes Included in the RE-AIM and Implementation Outcomes Frameworks
As the field of dissemination and implementation science matures, there are a myriad of outcomes, identified in numerous frameworks, that can be considered across individual, organizational, and population levels. This can lead to difficulty in summarizing literature, comparing across studies, and advancing translational science. This manuscript sought to (1) compare, contrast, and integrate the outcomes included in the RE-AIM and Implementation …
Evaluating a Two-Level vs. Three-Level Fall Risk Screening Algorithm for Predicting Falls Among Older Adults
Background and Objectives Falls account for the highest proportion of preventable injury among older adults. In an effort to aid clinicians screen, assess, and intervene to decrease fall risk in older adults, the United States’ Centers for Disease Control and Prevention (CDC) developed the Stopping Elderly Accidents, Deaths, & Injuries (STEADI) Tool Kit. We referred to our adaptation of the STEADI algorithm as ‘Quick-STEADI’ and compared the pred…
National Working Group on the RE-AIM Planning and Evaluation Framework: Goals, Resources, and Future Directions
The National Working Group on RE-AIM Planning and Evaluation Framework (herein Workgroup) was established in 2004 to support the application of the framework and advance dissemination and implementation science (D&I). Workgroup members developed and disseminated products and resources (and continue to do so) to advocate for consistent application of RE-AIM and allow for cross study comparisons. The purpose of this paper is to summarize key Workgr…
Perceptions of participants and staff of implementing a physical activity program in rural primary care
RE-AIM Planning and Evaluation Framework: Adapting to New Science and Practice With a 20-Year Review
The RE-AIM planning and evaluation framework was conceptualized two decades ago. As one of the most frequently applied implementation frameworks, RE-AIM has now been cited in over 2,800 publications. This paper describes the application and evolution of RE-AIM as well as lessons learned from its use. RE-AIM has been applied most often in public health and health behavior change research, but increasingly in more diverse content areas and within c…
Adapting an Evidence‐based Cardiovascular Disease Risk Reduction Intervention to Rural Communities
PURPOSE: Using the RE-AIM framework, the primary purpose of this qualitative study was to assess focus group data to generate information on the applicability of an evidence-based cardiovascular disease (CVD) risk intervention developed for an urban setting for rural areas in Nebraska. We also sought to determine potential adaptations that may be necessary to implement the study in a rural setting. The CVD risk reduction intervention is based on …
SIPsmartER delivered through rural, local health districts: Adoption and implementation outcomes
In-person classes and the consultee-centered implementation strategies were viewed as acceptable, appropriate, and feasible and were executed with high fidelity. However, implementation outcomes for teach-back and missed class calls and recruitment were not as strong. Findings will inform the future full-scale dissemination and implementation of SIPsmartER, as well as other evidence-based interventions, into rural health districts as a means to i…
Participatory development and pilot testing of iChoose: An adaptation of an evidence-based paediatric weight management program for community implementation
The process to help organizations identify and select evidence-based programs appropriate for their community led to consensus on a single EBP. While iChoose was successful in initiating changes in BMI z-scores, could be implemented in a low resource community with fidelity, it was insufficient to lead to sustained child BMI z-scores. In response to these data, maintenance of program effects and delivery are the current focus of the CBPR team
From Bright Bodies to iChoose: Using a CBPR Approach to Develop Childhood Obesity Intervention Materials for Rural Virginia
This community-based participatory research (CBPR) project used a collaborative process to develop a culturally relevant workbook for parents of overweight children. We followed a mixed methods iterative process to assess clear communication using a CBPR approach. Materials were evaluated using readability tests, the Clear Communication Index (CCI), and the Suitability Assessment of Materials (SAM). In addition, we used surveys and focus groups t…
Building and Sustaining Community Capacity to Address Childhood Obesity: A 3-Year Mixed-Methods Case Study of a Community-Academic Advisory Board
Guided by a community-based participatory research and systems-based approach, this 3-year mixed-methods case study describes the experiences and capacity development of a Community-Academic Advisory Board (CAB) formed to adapt, implement, and evaluate an evidence-based childhood obesity treatment program in a medically underserved region. The CAB included community, public health, and clinical (n = 9) and academic partners (n = 9). CAB members c…
A higher effort-based paradigm in physical activity and exercise for public health: Making the case for a greater emphasis on resistance training
It is well known that physical activity and exercise is associated with a lower risk of a range of morbidities and all-cause mortality. Further, it appears that risk reductions are greater when physical activity and/or exercise is performed at a higher intensity of effort. Why this may be the case is perhaps explained by the accumulating evidence linking physical fitness and performance outcomes (e.g. cardiorespiratory fitness, strength, and musc…
Do the Features, Amenities, and Quality of Physical Activity Resources Differ Between City and County Areas of a Large Rural Region
The goal of this work was to provide a community-academic partnership with actionable information for physical activity (PA) for a rural health-disparate region. Identified PA outlets were audited and combined with survey data for 813 residents in the region. Less than a third of sampled residents (28%) met PA recommendations, with low perceptions of safety for PA. PA resource outlets in rural areas had higher numbers of incivilities. On the basi…
Using the RE-AIM framework to evaluate physical activity public health programs in México
While reach and adoption of these programs were most commonly reported, there is a need for stronger evaluation of behavioral and health outcomes before the public health impact of these programs can be established
GrOup based physical Activity for oLder adults (Goal) randomized controlled trial: Study protocol
ClinicalTrials.gov # NCT02023632 . Registered December 13, 2013
Beginning A Patient-Centered Approach in the Design of A Diabetes Prevention Program
Contrary to beliefs that lower income individuals may not use technology-based interventions, lower socioeconomic patients indicated a preference for a technology- and telephone-supported diabetes prevention program over in-person class approaches. Findings provide formative data to support the design of a patient-centered, technology-enhanced diabetes prevention program in a real-world setting, thereby increasing potential participation and reac…
The Conceptualization and Effect of Control Beliefs on Exercise Attendance in the Elderly
The purpose of the study was to compare the relative merits of two approaches to the measurement of perceived behavioral control for the prediction of attendance in an exercise program in an elderly population. The first approach was to conceptualize perceived behavioral control in the traditional manner outlined by Ajzen (1987). The second approach was to conceptualize control beliefs as two distinct constructs: scheduling self-efficacy and perc…
Results of the First Year of Active for Life: Translation of 2 Evidence-Based Physical Activity Programs for Older Adults Into Community Settings
Objectives. Translating efficacious interventions into practice within community settings is a major public health challenge. We evaluated the effects of 2 evidence-based physical activity interventions on self-reported physical activity and related outcomes in midlife and older adults. Methods. Four community-based organizations implemented Active Choices, a 6-month, telephone-based program, and 5 implemented Active Living Every Day, a 20-week, …
From Bright Bodies to iChoose: Using a CBPR Approach to Develop Childhood Obesity Intervention Materials for Rural Virginia
This community-based participatory research (CBPR) project used a collaborative process to develop a culturally relevant workbook for parents of overweight children. We followed a mixed methods iterative process to assess clear communication using a CBPR approach. Materials were evaluated using readability tests, the Clear Communication Index (CCI), and the Suitability Assessment of Materials (SAM). In addition, we used surveys and focus groups t…
Trend: An Important Step, but Not Enough
Des Jarlais et al. provide an important service by publishing the TREND statement, which lists data reporting recommendations for behavioral and public health interventions.1 We commend the authors for addressing such issues as information on the target population, recruitment criteria, methods of imputing missing data, comparison of the study population to the target population of interest, and testing of causal pathways. These criteria, althoug…
Maintaining Attendance at a Fitness Center: An Application of the Decision Balance Sheet
The effect of a decision balance sheet intervention on attendance at a university fitness facility was examined. Facility members were randomly assigned to control, placebo, and experimental conditions. The control condition received no intervention, whereas the placebo and experimental conditions were called by telephone and asked to complete either an irrelevant (smoking) or relevant (exercising at the fitness facility) decision balance sheet. …
The Conceptualization and Effect of Control Beliefs on Exercise Attendance in the Elderly
The purpose of the study was to compare the relative merits of two approaches to the measurement of perceived behavioral control for the prediction of attendance in an exercise program in an elderly population. The first approach was to conceptualize perceived behavioral control in the traditional manner outlined by Ajzen (1987). The second approach was to conceptualize control beliefs as two distinct constructs: scheduling self-efficacy and perc…
Resources for physical activity participation: Does availability and accessibility differ by neighborhood socioeconomic status?
The purpose of this study was to determine whether the availability and accessibility of physical activity resources differed by neighborhood socioeconomic status (SES) in a small U.S. city (population = 133,046). U.S. census tracts (N =32) were used to represent neighborhoods and categorized into high, medium, or low SES on the basis of the percentage of unemployed individuals, per capita income, and percentage of the population below the povert…
The future of health behavior change research: What is needed to improve translation of research into health promotion practice?
BACKGROUND: It is well documented that the results of most behavioral and health promotion studies have not been translated into practice. PURPOSE: In this article, reasons for this gap, focusing on study design characteristics as a central contributing barrier, are discussed. METHODS: Four reviews of recent controlled studies in work sites, health care, school, and community settings are briefly discussed and summarized. Their implications for f…
Trend: An Important Step, but Not Enough
Des Jarlais et al. provide an important service by publishing the TREND statement, which lists data reporting recommendations for behavioral and public health interventions.1 We commend the authors for addressing such issues as information on the target population, recruitment criteria, methods of imputing missing data, comparison of the study population to the target population of interest, and testing of causal pathways. These criteria, althoug…
Practical Clinical Trials for Translating Research to Practice: Design and Measurement Recommendations
RATIONALE: There is a pressing need for practical clinical trials (PCTs) that are more relevant to clinicians and decision-makers, but many are unaware of these trials. Furthermore, such trials can be challenging to conduct and to report. OBJECTIVE: The objective of this study was to build on the seminal paper by Tunis et al (Practical clinical trials. Increasing the value of clinical research for decision making in clinical and health policy. JA…
Results of the First Year of Active for Life: Translation of 2 Evidence-Based Physical Activity Programs for Older Adults Into Community Settings
Objectives. Translating efficacious interventions into practice within community settings is a major public health challenge. We evaluated the effects of 2 evidence-based physical activity interventions on self-reported physical activity and related outcomes in midlife and older adults. Methods. Four community-based organizations implemented Active Choices, a 6-month, telephone-based program, and 5 implemented Active Living Every Day, a 20-week, …
Physical activity, quality of life, and weight status in overweight children
Long-Term Results of a Smoking Reduction Program
INTRODUCTION: There have been few comprehensive evaluations of smoking reduction, especially in health care delivery systems, and little is known about its cost, maintenance of reduced smoking, or robustness across patient subgroups. METHODS: A generally representative sample of 320 adult smokers from an HMO scheduled for outpatient surgery or a diagnostic procedure was randomized to enhanced usual care or a theory-based smoking reduction interve…
Who participates in internet-based worksite weight loss programs
Worksite weight loss programs should include targeted marketing strategies to engage employees with lower income, education, and health literacy
Measures of the home environment related to childhood obesity: A systematic review
Objective Due to a proliferation of measures for different components of the home environment related to childhood obesity, the purpose of the present systematic review was to examine these tools and the degree to which they can validly and reliably assess the home environment. Design Relevant manuscripts published between 1998 and 2010 were obtained through electronic database searches and manual searches of reference lists. Manuscripts were inc…
First impressions count: Perceptions of surface-level and deep-level similarity within postnatal exercise classes and implications for program adherence
The purpose of this study was to examine the extent to which perceptions of surface-level (i.e. age, ethnicity, physical condition) and deep-level (i.e. attitudes, beliefs, values) similarity, as assessed shortly after group formation, predict participants' subsequent attendance behaviors within postnatal physical activity classes. Women ( N = 136) enrolled in 21 postnatal exercise classes participated in this prospective observational study. Per…
US Children's Acquisition of Tobacco Media Literacy Skills: A Focus Group Analysis
Pro-tobacco messages in media play an important role in initiating smoking behavior among children, but can be addressed in health promotion media literacy interventions. Children from Southwest Virginia, US (age range: 8–14, N = 19) who participated in a tobacco media literacy intervention were invited to discuss their learning and understanding of tobacco media literacy in three focus groups. Data were analyzed using thematic analysis and sensi…
Beginning A Patient-Centered Approach in the Design of A Diabetes Prevention Program
Contrary to beliefs that lower income individuals may not use technology-based interventions, lower socioeconomic patients indicated a preference for a technology- and telephone-supported diabetes prevention program over in-person class approaches. Findings provide formative data to support the design of a patient-centered, technology-enhanced diabetes prevention program in a real-world setting, thereby increasing potential participation and reac…
Group-Based Lifestyle Sessions for Gestational Weight Gain Management: A Mixed Method Approach
GBLS represents a promising approach to GWG management. Future research should assess the generalizability, sustainably, and compatibility of GBLS within prenatal care
Using the RE-AIM framework to evaluate physical activity public health programs in México
While reach and adoption of these programs were most commonly reported, there is a need for stronger evaluation of behavioral and health outcomes before the public health impact of these programs can be established
GrOup based physical Activity for oLder adults (Goal) randomized controlled trial: Study protocol
ClinicalTrials.gov # NCT02023632 . Registered December 13, 2013
Do the Features, Amenities, and Quality of Physical Activity Resources Differ Between City and County Areas of a Large Rural Region
The goal of this work was to provide a community-academic partnership with actionable information for physical activity (PA) for a rural health-disparate region. Identified PA outlets were audited and combined with survey data for 813 residents in the region. Less than a third of sampled residents (28%) met PA recommendations, with low perceptions of safety for PA. PA resource outlets in rural areas had higher numbers of incivilities. On the basi…
A higher effort-based paradigm in physical activity and exercise for public health: Making the case for a greater emphasis on resistance training
It is well known that physical activity and exercise is associated with a lower risk of a range of morbidities and all-cause mortality. Further, it appears that risk reductions are greater when physical activity and/or exercise is performed at a higher intensity of effort. Why this may be the case is perhaps explained by the accumulating evidence linking physical fitness and performance outcomes (e.g. cardiorespiratory fitness, strength, and musc…
Building and Sustaining Community Capacity to Address Childhood Obesity: A 3-Year Mixed-Methods Case Study of a Community-Academic Advisory Board
Guided by a community-based participatory research and systems-based approach, this 3-year mixed-methods case study describes the experiences and capacity development of a Community-Academic Advisory Board (CAB) formed to adapt, implement, and evaluate an evidence-based childhood obesity treatment program in a medically underserved region. The CAB included community, public health, and clinical (n = 9) and academic partners (n = 9). CAB members c…
RE-AIM Planning and Evaluation Framework: Adapting to New Science and Practice With a 20-Year Review
The RE-AIM planning and evaluation framework was conceptualized two decades ago. As one of the most frequently applied implementation frameworks, RE-AIM has now been cited in over 2,800 publications. This paper describes the application and evolution of RE-AIM as well as lessons learned from its use. RE-AIM has been applied most often in public health and health behavior change research, but increasingly in more diverse content areas and within c…
Adapting an Evidence‐based Cardiovascular Disease Risk Reduction Intervention to Rural Communities
PURPOSE: Using the RE-AIM framework, the primary purpose of this qualitative study was to assess focus group data to generate information on the applicability of an evidence-based cardiovascular disease (CVD) risk intervention developed for an urban setting for rural areas in Nebraska. We also sought to determine potential adaptations that may be necessary to implement the study in a rural setting. The CVD risk reduction intervention is based on …
SIPsmartER delivered through rural, local health districts: Adoption and implementation outcomes
In-person classes and the consultee-centered implementation strategies were viewed as acceptable, appropriate, and feasible and were executed with high fidelity. However, implementation outcomes for teach-back and missed class calls and recruitment were not as strong. Findings will inform the future full-scale dissemination and implementation of SIPsmartER, as well as other evidence-based interventions, into rural health districts as a means to i…
Participatory development and pilot testing of iChoose: An adaptation of an evidence-based paediatric weight management program for community implementation
The process to help organizations identify and select evidence-based programs appropriate for their community led to consensus on a single EBP. While iChoose was successful in initiating changes in BMI z-scores, could be implemented in a low resource community with fidelity, it was insufficient to lead to sustained child BMI z-scores. In response to these data, maintenance of program effects and delivery are the current focus of the CBPR team
From Bright Bodies to iChoose: Using a CBPR Approach to Develop Childhood Obesity Intervention Materials for Rural Virginia
This community-based participatory research (CBPR) project used a collaborative process to develop a culturally relevant workbook for parents of overweight children. We followed a mixed methods iterative process to assess clear communication using a CBPR approach. Materials were evaluated using readability tests, the Clear Communication Index (CCI), and the Suitability Assessment of Materials (SAM). In addition, we used surveys and focus groups t…
Medicine (34 works) · Nursing (21 works) · Psychology (19 works) · Public health (17 works) · Health Policy Implementation Science (14 works) · Environmental health (13 works) · Gerontology (12 works) · Physical therapy (11 works) · Computer Science (9 works) · Family medicine (8 works)