Meredith P Fort
Dados Biográficos
| ID | 260169 |
|---|---|
| NOME | Meredith P Fort |
| PRENOMES | Meredith P |
| SOBRENOME | Fort |
| ASSINATURA | FORT M P |
| AFILIAÇÕES | Colorado School of Public Health |
| ORCID | 0000-0003-0589-1044 |
| VERIFICADO | Sim |
| TOTAL DE OBRAS | 19 |
| TOTAL DE CITAÇÕES | 13 |
| TOTAL COMO AUTOR | 19 |
| TOTAL COMO EDITOR | 0 |
| PRIMEIRO ANO DE PUBLICAÇÃO | 2008 |
| ANO MAIS RECENTE DE PUBLICAÇÃO | 2026 |
| ÍNDICE H | 1 |
Transcreating approaches to addressing disproportionate impacts on health in Colorado communities
Background: Social and structural factors that influence health continue to affect communities across Colorado, with disproportionate impact in populations that have historically experienced limited access to resources and opportunities for health. The Colorado Community Engagement Alliance (CO-CEAL), funded by the National Institutes of Health (NIH), began with efforts to promote COVID-19 awareness and prevention and has since expanded to addres…
Health equity-oriented design for dissemination
Background: Public health messaging often falls short of the needs of underserved and minority communities, missing the mark on translating information that captures cultural, linguistic, or community relevance to influence health behaviors. Rapid community translation (rapid-CT) is an adaptation of the Boot Camp Translational method for community engagement in translating medical evidence into community health promotion messages and intervention…
Agroforestry
Agroforestry systems have potential human health impacts. • Impacts stem from food system resilience and productivity, diet diversity, and food 3 sovereignty. • Agroforestry may also impact communicable and non-communicable diseases. • Additional research is needed on the relationship between agroforestry and human health. Agroforestry is a climate resilient agricultural land use system that includes trees and woody shrubs. The environmental bene…
A Social-Ecological Systems Understanding of Risk & Protective Factors for Loneliness in LGBTQ+ Adults
LGBTQ+ adults are a marginalized population that often experiences high levels of loneliness associated with poor mental and physical health outcomes. However, designing effective interventions can be hindered by the complexity and interdependence of loneliness risk and protective factors. A scoping review was conducted to map the scientific understanding of loneliness risk and protective factors for LGBTQ+ adults to theoretical frameworks that p…
Adult Loneliness Narratives Recount Exposure to Relational Loss, Rejection, Emotional Absence, and Excessive Labor
The U.S. Surgeon General's 2023 advisory on America's loneliness epidemic defines loneliness as a discrepancy in relationship quality linked to higher risk for severe mental illness. It is unclear what is meant by relationship quality and how these qualities would scale large enough to produce a loneliness epidemic. Methods: We used a critical realist approach to thematic analysis, to examine quality in social interactions and underlying causes, …
Marginalization and Intersectionality in Adults' Relationship to Society Explain Increasing Loneliness
Loneliness epidemics affecting roughly 10% to 40% of adult populations do not have sufficient guidance for public health experts or governments to adequately address. To improve guidance, we developed an interdisciplinary approach to deepen explanation of underlying causes of loneliness using a critical realist lens. Using theory about social connection as a human basic need to frame our analysis, we first conducted thematic narrative inquiry to …
A development and implementation of a preconception counseling program for black women and men in the southeastern United States
Introduction: Racial/ethnic disparities in maternal mortality rates represent one of the most significant areas of disparities amongst all conventional population perinatal health measures in the U.S. The alarming trends and persistent disparities of outcomes by race/ethnicity and geographic location reinforce the need to focus on ensuring quality and safety of maternity care for all women. Despite complex multilevel factors impacting maternal mo…
Reach and effectiveness of a HEARTS hypertension pilot project in Guatemala
The World Health Organization Global Hearts initiative (HEARTS) and technical package aim to improve the primary health care management of hypertension and other risk factors for cardiovascular disease at the population level. This study describes the first HEARTS implementation pilot project in Guatemala's Ministry of Health (MOH) primary health care system. This pilot began in April 2022 in six primary health care facilities in three rural indi…
Rapid Community Translation in the Colorado Ceal (CO-Ceal) Program
Providing communities with COVID-19 vaccination information is essential for optimizing equitable vaccine uptake. Using rapid community translation, adapted from Boot Camp Translation, five community teams transcreated COVID-19 vaccination campaigns. Transcreated messaging incorporated community attitudes, culture, and experiences. Using rapid community translation for the promotion of COVID-19 vaccination demonstrates a successful approach to en…
Global implementation research capacity building to address cardiovascular disease
Cardiovascular diseases are the leading causes of morbidity and mortality worldwide, but implementation of evidence-based interventions for risk factors such as hypertension is lacking, particularly in low and middle income countries (LMICs). Building implementation research capacity in LMICs is required to overcome this gap. Members of the Global Research on Implementation and Translation Science (GRIT) Consortium have been collaborating in rece…
Explanatory models of hypertension in Guatemala
As understandings of hypertension vary between types of participants, it is important to describe their similarities and differences considering the role each has in the health system. Considering different perceptions of hypertension will enable better informed program planning and implementation efforts
Diabetes Prevention and Care Capacity at Urban Indian Health Organizations
American Indian and Alaska Native (AI/AN) people suffer a disproportionate burden of diabetes and cardiovascular disease. Urban Indian Health Organizations (UIHOs) are an important source of diabetes services for urban AI/AN people. Two evidence-based interventions—diabetes prevention (DP) and healthy heart (HH)–have been implemented and evaluated primarily in rural, reservation settings. This work examines the capacity, challenges and strengths …
Primary healthcare in the time of Covid-19
In 1948, the WHO was created under the aegis of the United Nations (UN) as the agency to address global health concerns. Health was defined as a ‘state of complete physical, mental and social well-being and not merely the absence of disease or infirmity’.1 In 1978 with the Alma Ata Declaration, the member states of the UN began a process to translate this definition into reality by mandating primary healthcare (PHC) as the health policy for the o…
A Qualitative Study of Health in All Policies at the Local Level
Health in All Policies (HiAP) encourage health-conscious policymaking in non-health sectors; however, there are no standardized measures or guides for assessing progress in HiAP implementation. The purpose of this study was to describe how HiAP in local public health agencies (LPHAs) are implemented at the local level in Colorado and identify challenges and opportunities for implementation. We conducted semi-structured interviews with 13 key info…
Evaluation of a pilot hypertension management programme for Guatemalan adults
Corazón Sano y Feliz is a hypertension management intervention developed to address deficiencies in the management of hypertensive patients in Guatemala. From 2007 to 2009, Corazón Sano y Feliz was pilot-tested in the community of Mixco. Corazón Sano y Feliz comprises a clinical risk assessment and treatment component implemented primarily by nurses, and a health education component implemented by community health workers. To accomplish our secon…
Opportunities for involving men and families in chronic disease management
There is an opportunity to increase the reach of interventions aimed at improving disease self-management by engaging men and family members. The proposed strategies presented by patients, family members, and providers have implications for health education and service provision at primary care health centers and for future research
Eyes wide open
BACKGROUND: There is a growing understanding of the role social determinants such as poverty, gender discrimination, racial prejudice, and economic inequality play on health and illness. While these determinants and effects may be challenging to identify in parts of high-income countries, they are patently obvious in many other areas of the world. How we react to these determinants and effects depends on what historical, cultural, ideological, an…
Implementation and progress of an inclusive primary health care model in Guatemala
Coverage, quality of care, and utilization measures increased significantly during the 5-year period when the service delivery model was implemented. This finding suggests a strong possibility that the model may have a benefit for health outcomes as well as for process measures. The Modelo Incluyente de Salud will be financially sustained by the Ministry of Health and extended to at least three additional sites. The model provides important lesso…
Strengthening Health Systems in Poor Countries
The challenges facing efforts in Africa to increase access to antiretroviral HIV treatment underscore the urgent need to strengthen national health systems across the continent. However, donor aid to developing countries continues to be disproportionately channeled to international nongovernmental organizations (NGOs) rather than to ministries of health. The rapid proliferation of NGOs has provoked “brain drain” from the public sector by luring w…
Strengthening Health Systems in Poor Countries
The challenges facing efforts in Africa to increase access to antiretroviral HIV treatment underscore the urgent need to strengthen national health systems across the continent. However, donor aid to developing countries continues to be disproportionately channeled to international nongovernmental organizations (NGOs) rather than to ministries of health. The rapid proliferation of NGOs has provoked “brain drain” from the public sector by luring w…
Strengthening Health Systems in Poor Countries
The challenges facing efforts in Africa to increase access to antiretroviral HIV treatment underscore the urgent need to strengthen national health systems across the continent. However, donor aid to developing countries continues to be disproportionately channeled to international nongovernmental organizations (NGOs) rather than to ministries of health. The rapid proliferation of NGOs has provoked “brain drain” from the public sector by luring w…
Implementation and progress of an inclusive primary health care model in Guatemala
Coverage, quality of care, and utilization measures increased significantly during the 5-year period when the service delivery model was implemented. This finding suggests a strong possibility that the model may have a benefit for health outcomes as well as for process measures. The Modelo Incluyente de Salud will be financially sustained by the Ministry of Health and extended to at least three additional sites. The model provides important lesso…
Eyes wide open
BACKGROUND: There is a growing understanding of the role social determinants such as poverty, gender discrimination, racial prejudice, and economic inequality play on health and illness. While these determinants and effects may be challenging to identify in parts of high-income countries, they are patently obvious in many other areas of the world. How we react to these determinants and effects depends on what historical, cultural, ideological, an…
Opportunities for involving men and families in chronic disease management
There is an opportunity to increase the reach of interventions aimed at improving disease self-management by engaging men and family members. The proposed strategies presented by patients, family members, and providers have implications for health education and service provision at primary care health centers and for future research
Evaluation of a pilot hypertension management programme for Guatemalan adults
Corazón Sano y Feliz is a hypertension management intervention developed to address deficiencies in the management of hypertensive patients in Guatemala. From 2007 to 2009, Corazón Sano y Feliz was pilot-tested in the community of Mixco. Corazón Sano y Feliz comprises a clinical risk assessment and treatment component implemented primarily by nurses, and a health education component implemented by community health workers. To accomplish our secon…
A Qualitative Study of Health in All Policies at the Local Level
Health in All Policies (HiAP) encourage health-conscious policymaking in non-health sectors; however, there are no standardized measures or guides for assessing progress in HiAP implementation. The purpose of this study was to describe how HiAP in local public health agencies (LPHAs) are implemented at the local level in Colorado and identify challenges and opportunities for implementation. We conducted semi-structured interviews with 13 key info…
Diabetes Prevention and Care Capacity at Urban Indian Health Organizations
American Indian and Alaska Native (AI/AN) people suffer a disproportionate burden of diabetes and cardiovascular disease. Urban Indian Health Organizations (UIHOs) are an important source of diabetes services for urban AI/AN people. Two evidence-based interventions—diabetes prevention (DP) and healthy heart (HH)–have been implemented and evaluated primarily in rural, reservation settings. This work examines the capacity, challenges and strengths …
Primary healthcare in the time of Covid-19
In 1948, the WHO was created under the aegis of the United Nations (UN) as the agency to address global health concerns. Health was defined as a ‘state of complete physical, mental and social well-being and not merely the absence of disease or infirmity’.1 In 1978 with the Alma Ata Declaration, the member states of the UN began a process to translate this definition into reality by mandating primary healthcare (PHC) as the health policy for the o…
Explanatory models of hypertension in Guatemala
As understandings of hypertension vary between types of participants, it is important to describe their similarities and differences considering the role each has in the health system. Considering different perceptions of hypertension will enable better informed program planning and implementation efforts
Global implementation research capacity building to address cardiovascular disease
Cardiovascular diseases are the leading causes of morbidity and mortality worldwide, but implementation of evidence-based interventions for risk factors such as hypertension is lacking, particularly in low and middle income countries (LMICs). Building implementation research capacity in LMICs is required to overcome this gap. Members of the Global Research on Implementation and Translation Science (GRIT) Consortium have been collaborating in rece…
A development and implementation of a preconception counseling program for black women and men in the southeastern United States
Introduction: Racial/ethnic disparities in maternal mortality rates represent one of the most significant areas of disparities amongst all conventional population perinatal health measures in the U.S. The alarming trends and persistent disparities of outcomes by race/ethnicity and geographic location reinforce the need to focus on ensuring quality and safety of maternity care for all women. Despite complex multilevel factors impacting maternal mo…
Reach and effectiveness of a HEARTS hypertension pilot project in Guatemala
The World Health Organization Global Hearts initiative (HEARTS) and technical package aim to improve the primary health care management of hypertension and other risk factors for cardiovascular disease at the population level. This study describes the first HEARTS implementation pilot project in Guatemala's Ministry of Health (MOH) primary health care system. This pilot began in April 2022 in six primary health care facilities in three rural indi…
Rapid Community Translation in the Colorado Ceal (CO-Ceal) Program
Providing communities with COVID-19 vaccination information is essential for optimizing equitable vaccine uptake. Using rapid community translation, adapted from Boot Camp Translation, five community teams transcreated COVID-19 vaccination campaigns. Transcreated messaging incorporated community attitudes, culture, and experiences. Using rapid community translation for the promotion of COVID-19 vaccination demonstrates a successful approach to en…
Agroforestry
Agroforestry systems have potential human health impacts. • Impacts stem from food system resilience and productivity, diet diversity, and food 3 sovereignty. • Agroforestry may also impact communicable and non-communicable diseases. • Additional research is needed on the relationship between agroforestry and human health. Agroforestry is a climate resilient agricultural land use system that includes trees and woody shrubs. The environmental bene…
A Social-Ecological Systems Understanding of Risk & Protective Factors for Loneliness in LGBTQ+ Adults
LGBTQ+ adults are a marginalized population that often experiences high levels of loneliness associated with poor mental and physical health outcomes. However, designing effective interventions can be hindered by the complexity and interdependence of loneliness risk and protective factors. A scoping review was conducted to map the scientific understanding of loneliness risk and protective factors for LGBTQ+ adults to theoretical frameworks that p…
Adult Loneliness Narratives Recount Exposure to Relational Loss, Rejection, Emotional Absence, and Excessive Labor
The U.S. Surgeon General's 2023 advisory on America's loneliness epidemic defines loneliness as a discrepancy in relationship quality linked to higher risk for severe mental illness. It is unclear what is meant by relationship quality and how these qualities would scale large enough to produce a loneliness epidemic. Methods: We used a critical realist approach to thematic analysis, to examine quality in social interactions and underlying causes, …
Marginalization and Intersectionality in Adults' Relationship to Society Explain Increasing Loneliness
Loneliness epidemics affecting roughly 10% to 40% of adult populations do not have sufficient guidance for public health experts or governments to adequately address. To improve guidance, we developed an interdisciplinary approach to deepen explanation of underlying causes of loneliness using a critical realist lens. Using theory about social connection as a human basic need to frame our analysis, we first conducted thematic narrative inquiry to …
Transcreating approaches to addressing disproportionate impacts on health in Colorado communities
Background: Social and structural factors that influence health continue to affect communities across Colorado, with disproportionate impact in populations that have historically experienced limited access to resources and opportunities for health. The Colorado Community Engagement Alliance (CO-CEAL), funded by the National Institutes of Health (NIH), began with efforts to promote COVID-19 awareness and prevention and has since expanded to addres…
Health equity-oriented design for dissemination
Background: Public health messaging often falls short of the needs of underserved and minority communities, missing the mark on translating information that captures cultural, linguistic, or community relevance to influence health behaviors. Rapid community translation (rapid-CT) is an adaptation of the Boot Camp Translational method for community engagement in translating medical evidence into community health promotion messages and intervention…
Medicine (13 obras) · Political science (8 obras) · Public health (7 obras) · Gerontology (6 obras) · Nursing (6 obras) · Family medicine (5 obras) · Global Public Health Policies and Epidemiology (5 obras) · Health care (5 obras) · Health Policy Implementation Science (5 obras) · Healthcare Systems and Reforms (5 obras)