Susan A Flocke
Biographic Data
| ID | 5536231 |
|---|---|
| NAME | Susan A Flocke |
| GIVEN NAMES | Susan A |
| FAMILY NAME | Flocke |
| SIGNATURE | FLOCKE S A |
| AFFILIATIONS | Case Western Reserve University |
| ORCID | 0000-0002-5155-7074 |
| VERIFIED | Yes |
| TOTAL WORKS | 18 |
| TOTAL CITATIONS | 2 |
| AUTHOR COUNT | 18 |
| EDITOR COUNT | 0 |
| FIRST PUBLICATION YEAR | 1996 |
| LATEST PUBLICATION YEAR | 2023 |
| H-INDEX | 1 |
Extreme Weather Events as Teachable Moments
Extreme weather events are often described as teachable moments for climate change. In this article, we explore insights about the concept of teachable moments from healthcare literature and apply them to the climate change communication context. Specifically, we adapt Flocke et al.’s (2012. A teachable moment communication process for smoking cessation talk: description of a group randomized clinician-focused intervention. BMC Health Services Re…
Quitting the quitline
Participants intentionally and unintentionally disengage from the QL for a wide variety of reasons, several of which are mediated by low socioeconomic status. Integrating QL care with community-based resources that address these mediators could be a promising strategy
Validating the New Primary Care Measure in the Medical Expenditure Panel Survey
BACKGROUND: The advancement of primary care research requires reliable and validated measures that capture primary care processes embedded within nationally representative datasets. OBJECTIVE: The objective of this study was to assess the validity of a newly developed measure of primary care processes [Medical Expenditure Panel Survey (MEPS)-PC] with preliminary evidence of moderate to excellent reliability. STUDY DESIGN: A retrospective cohort s…
A comparison of methods to measure daily cigarillo consumption among adolescents and young adults
The two measurement methods yield significantly different consumption estimates based on sharing behaviour, regularity of use and use level. Improving accuracy in the measurement of tobacco product consumption is important and timely for tobacco control research and policy
Developing a New Measure of Primary Care Using the Medical Expenditure Panel Survey
OBJECTIVE: To develop and assess the reliability of a measure of primary care using items from the Medical Expenditure Panel Survey (MEPS), a US representative survey of community-dwelling persons. METHODS: On the basis of the domains from the literature on primary care characteristics, we identified relevant items within the 2013-2014 MEPS family of surveys. In a sample of primary survey respondents with at least 1 office-based physician visit i…
People and places shaping food procurement among recipients of Supplemental Nutrition Assistance Program (SNAP)
Predictors of Farmers’ Market Shopping among People Receiving Supplemental Nutrition Assistance Program Benefits
Promoting use of farmers’ markets ( FM s) is a promising community‐level strategy to increase access to nutritious foods such as fruits and vegetables. Yet, FM shopping among people with Supplemental Nutrition Assistance Program ( SNAP ) benefits remains low. This research examined predictors of FM shopping among SNAP recipients living within 1 mile of a FM . A cross‐sectional survey of SNAP participants ( N = 270) was conducted in 2015 in Clevel…
Food Melt in Consumer Food Environments in Low-income Urban Neighborhoods
Food melt differentially affects individuals in neighborhoods without grocery stores. Findings reveal composition of food environments is dynamic rather than static, influencing food-purchasing choices among lowincome consumers
Developing multidimensional measures of healthy food access among low-income adults in Cleveland, Ohio, USA
Objective Access to nutritious foods is key to achieving health promotion goals. While there is evidence that nutritious food access is complex, measures assessing multiple domains of access, including spatial-temporal, economic, social, service delivery and personal, are lacking. The current study evaluates psychometric properties of scales designed to measure perceptions of multiple domains of nutritious food access among low-income populations…
User and Content Characteristics of Public Tweets Referencing Little Cigars
Twitter provides a potentially potent source of nuanced information about how young people are using little cigars. These observed characteristics may be useful to inform counter-messaging strategies and interventions
Psychometric Evaluation of a Cultural Competency Assessment Instrument for Health Professionals
BACKGROUND: Few valid and reliable measures exist for health care professionals interested in determining their levels of cultural and linguistic competence. OBJECTIVE: To evaluate the measurement properties of the Cultural Competence Health Practitioner Assessment (CCHPA-129). METHODS: The CCHPA-129 is a 129-item web-based instrument, developed by the National Center for Cultural Competence. Responses on the CCHPA -129 were examined using factor…
Physician and Patient Gender Concordance and the Delivery of Comprehensive Clinical Preventive Services
BACKGROUND: Understanding the role of patient- and physician-gender on delivery of preventive services has important implications for identifying strategies to increase preventive service delivery. We attempt to overcome methodological limitations of previous studies in examining the association of the patient-physician gender interaction on the delivery of preventive screening, counseling, and immunization services. METHODS: In this cross-sectio…
A Comparison of the National Ambulatory Medical Care Survey (NAMCS) Measurement Approach With Direct Observation of Outpatient Visits
BACKGROUND: The National Ambulatory Medical Care Survey (NAMCS) informs a wide range of important policy and clinical decisions by providing nationally representative data about outpatient practice. However, the validity of the NAMCS methods has not been compared with a reference standard. METHODS: Office visits of 549 patients visiting 30 family physicians in Northeastern Ohio were observed by trained research nurses. Visit content measured by d…
Race and Preventive Services Delivery Among Black Patients and White Patients Seen in Primary Care
BACKGROUND: Numerous studies have documented racial disparities in delivery of health care treatment services, but there is little information to determine whether similar disparities exist in the delivery of preventive services. OBJECTIVE: To determine if disparities exist in preventive service delivery to non-Hispanic white patients and black patients in primary care. RESEARCH DESIGN: Multimethod study using direct observation of patient encoun…
Facilitating Participatory Decision-Making
BACKGROUND: Participatory decision-making (PDM), a widely held ideal, depends on physician facilitation of patient participation. However, little is known about how PDM facilitation is actualized in outpatient primary care. OBJECTIVES: The objective of this study was to describe the prevalence of physician facilitation of PDM in community family practices and associated physician, patient, and visit characteristics. RESEARCH DESIGN: This was a cr…
The Association of Attributes of Primary Care With the Delivery of Clinical Preventive Services
OBJECTIVES: Evidence is building that primary care is associated with quality of care and cost effectiveness. Still, little is known of the contribution of specific attributes of primary care to important health outcomes, such as the delivery of preventive services. This study tests the association of specific attributes of primary care with a comprehensive measure of the delivery of preventive services. METHODS: A cross-sectional multimethod stu…
How Valid Are Medical Records and Patient Questionnaires for Physician Profiling and Health Services Research
OBJECTIVES: This study was designed to determine the optimal nonobservational method of measuring the delivery of outpatient medical services. METHODS: As part of a multimethod study of the content of primary care practice, research nurses directly observed consecutive patient visits to 138 practicing family physicians. Data on services delivered were collected using a direct observation checklist, medical record review, and patient exit question…
A Comparison of US and Canadian Family Physician Attitudes Toward Their Respective Health-Care Systems
OBJECTIVES: To examine how family physicians in the United States and Canada evaluate their respective health-care systems. METHODS: The study design was a cross-sectional survey of 300 randomly selected US family physicians and 300 Canadian family physicians. Outcome measures included: attitudes about professional satisfaction and views on health-care delivery and government involvement in health care. RESULTS: Sixty-one percent of the US sample…
Predictors of Farmers’ Market Shopping among People Receiving Supplemental Nutrition Assistance Program Benefits
Promoting use of farmers’ markets ( FM s) is a promising community‐level strategy to increase access to nutritious foods such as fruits and vegetables. Yet, FM shopping among people with Supplemental Nutrition Assistance Program ( SNAP ) benefits remains low. This research examined predictors of FM shopping among SNAP recipients living within 1 mile of a FM . A cross‐sectional survey of SNAP participants ( N = 270) was conducted in 2015 in Clevel…
A Comparison of US and Canadian Family Physician Attitudes Toward Their Respective Health-Care Systems
OBJECTIVES: To examine how family physicians in the United States and Canada evaluate their respective health-care systems. METHODS: The study design was a cross-sectional survey of 300 randomly selected US family physicians and 300 Canadian family physicians. Outcome measures included: attitudes about professional satisfaction and views on health-care delivery and government involvement in health care. RESULTS: Sixty-one percent of the US sample…
The Association of Attributes of Primary Care With the Delivery of Clinical Preventive Services
OBJECTIVES: Evidence is building that primary care is associated with quality of care and cost effectiveness. Still, little is known of the contribution of specific attributes of primary care to important health outcomes, such as the delivery of preventive services. This study tests the association of specific attributes of primary care with a comprehensive measure of the delivery of preventive services. METHODS: A cross-sectional multimethod stu…
How Valid Are Medical Records and Patient Questionnaires for Physician Profiling and Health Services Research
OBJECTIVES: This study was designed to determine the optimal nonobservational method of measuring the delivery of outpatient medical services. METHODS: As part of a multimethod study of the content of primary care practice, research nurses directly observed consecutive patient visits to 138 practicing family physicians. Data on services delivered were collected using a direct observation checklist, medical record review, and patient exit question…
Facilitating Participatory Decision-Making
BACKGROUND: Participatory decision-making (PDM), a widely held ideal, depends on physician facilitation of patient participation. However, little is known about how PDM facilitation is actualized in outpatient primary care. OBJECTIVES: The objective of this study was to describe the prevalence of physician facilitation of PDM in community family practices and associated physician, patient, and visit characteristics. RESEARCH DESIGN: This was a cr…
Race and Preventive Services Delivery Among Black Patients and White Patients Seen in Primary Care
BACKGROUND: Numerous studies have documented racial disparities in delivery of health care treatment services, but there is little information to determine whether similar disparities exist in the delivery of preventive services. OBJECTIVE: To determine if disparities exist in preventive service delivery to non-Hispanic white patients and black patients in primary care. RESEARCH DESIGN: Multimethod study using direct observation of patient encoun…
A Comparison of the National Ambulatory Medical Care Survey (NAMCS) Measurement Approach With Direct Observation of Outpatient Visits
BACKGROUND: The National Ambulatory Medical Care Survey (NAMCS) informs a wide range of important policy and clinical decisions by providing nationally representative data about outpatient practice. However, the validity of the NAMCS methods has not been compared with a reference standard. METHODS: Office visits of 549 patients visiting 30 family physicians in Northeastern Ohio were observed by trained research nurses. Visit content measured by d…
Physician and Patient Gender Concordance and the Delivery of Comprehensive Clinical Preventive Services
BACKGROUND: Understanding the role of patient- and physician-gender on delivery of preventive services has important implications for identifying strategies to increase preventive service delivery. We attempt to overcome methodological limitations of previous studies in examining the association of the patient-physician gender interaction on the delivery of preventive screening, counseling, and immunization services. METHODS: In this cross-sectio…
Psychometric Evaluation of a Cultural Competency Assessment Instrument for Health Professionals
BACKGROUND: Few valid and reliable measures exist for health care professionals interested in determining their levels of cultural and linguistic competence. OBJECTIVE: To evaluate the measurement properties of the Cultural Competence Health Practitioner Assessment (CCHPA-129). METHODS: The CCHPA-129 is a 129-item web-based instrument, developed by the National Center for Cultural Competence. Responses on the CCHPA -129 were examined using factor…
User and Content Characteristics of Public Tweets Referencing Little Cigars
Twitter provides a potentially potent source of nuanced information about how young people are using little cigars. These observed characteristics may be useful to inform counter-messaging strategies and interventions
Food Melt in Consumer Food Environments in Low-income Urban Neighborhoods
Food melt differentially affects individuals in neighborhoods without grocery stores. Findings reveal composition of food environments is dynamic rather than static, influencing food-purchasing choices among lowincome consumers
Developing multidimensional measures of healthy food access among low-income adults in Cleveland, Ohio, USA
Objective Access to nutritious foods is key to achieving health promotion goals. While there is evidence that nutritious food access is complex, measures assessing multiple domains of access, including spatial-temporal, economic, social, service delivery and personal, are lacking. The current study evaluates psychometric properties of scales designed to measure perceptions of multiple domains of nutritious food access among low-income populations…
People and places shaping food procurement among recipients of Supplemental Nutrition Assistance Program (SNAP)
Predictors of Farmers’ Market Shopping among People Receiving Supplemental Nutrition Assistance Program Benefits
Promoting use of farmers’ markets ( FM s) is a promising community‐level strategy to increase access to nutritious foods such as fruits and vegetables. Yet, FM shopping among people with Supplemental Nutrition Assistance Program ( SNAP ) benefits remains low. This research examined predictors of FM shopping among SNAP recipients living within 1 mile of a FM . A cross‐sectional survey of SNAP participants ( N = 270) was conducted in 2015 in Clevel…
A comparison of methods to measure daily cigarillo consumption among adolescents and young adults
The two measurement methods yield significantly different consumption estimates based on sharing behaviour, regularity of use and use level. Improving accuracy in the measurement of tobacco product consumption is important and timely for tobacco control research and policy
Developing a New Measure of Primary Care Using the Medical Expenditure Panel Survey
OBJECTIVE: To develop and assess the reliability of a measure of primary care using items from the Medical Expenditure Panel Survey (MEPS), a US representative survey of community-dwelling persons. METHODS: On the basis of the domains from the literature on primary care characteristics, we identified relevant items within the 2013-2014 MEPS family of surveys. In a sample of primary survey respondents with at least 1 office-based physician visit i…
Quitting the quitline
Participants intentionally and unintentionally disengage from the QL for a wide variety of reasons, several of which are mediated by low socioeconomic status. Integrating QL care with community-based resources that address these mediators could be a promising strategy
Validating the New Primary Care Measure in the Medical Expenditure Panel Survey
BACKGROUND: The advancement of primary care research requires reliable and validated measures that capture primary care processes embedded within nationally representative datasets. OBJECTIVE: The objective of this study was to assess the validity of a newly developed measure of primary care processes [Medical Expenditure Panel Survey (MEPS)-PC] with preliminary evidence of moderate to excellent reliability. STUDY DESIGN: A retrospective cohort s…
Extreme Weather Events as Teachable Moments
Extreme weather events are often described as teachable moments for climate change. In this article, we explore insights about the concept of teachable moments from healthcare literature and apply them to the climate change communication context. Specifically, we adapt Flocke et al.’s (2012. A teachable moment communication process for smoking cessation talk: description of a group randomized clinician-focused intervention. BMC Health Services Re…
Medicine (17 works) · Family medicine (9 works) · Nursing (9 works) · Psychology (8 works) · Health care (7 works) · Public health (7 works) · Environmental health (6 works) · Business (5 works) · Computer Science (5 works) · Obesity, Physical Activity, Diet (5 works)