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Promising Practices that show evidence of effectiveness in improving public health outcomes in a specific real-life setting, as indicated by achievement of aims consistent with the objectives of the activities, and are suitable for adaptation by other communities.
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White Paper/Brief
This study investigates deaf American Sign Language (ASL) users’ access to telehealth and outpatient encounters during the pandemic. The findings emphasize the importance of optimizing proactive accommodation planning and access including in telehealth platforms.
Novel Practices that show potential to achieve desirable public health outcomes in a specific real-life setting and are in the process of generating evidence of effectiveness or may not yet be tested.
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White Paper/Brief
This article discusses the development of the Visible app, which uses wearables or smart watches to help measure and manage long COVID. Visible helps to manage long COVID and other chronic fatigue diseases with a heartrate-monitored guidance strategy that emphasizes pacing as long COVID patients return to physical activity.
Promising Practices that show evidence of effectiveness in improving public health outcomes in a specific real-life setting, as indicated by achievement of aims consistent with the objectives of the activities, and are suitable for adaptation by other communities.
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Case Study
A UK-based program gradually increased physical activity among people suffering from long COVID. Physical activity regimes were established by clinicians and gradually increased in intensity over six weeks. Over the course of the program, significant reductions in episodes of “crashing” and symptoms of breathlessness and headaches were reported by participants.
Emerging Practices that show potential to achieve desirable public health outcomes in a specific real-life setting and produce early results that are consistent with the objectives of the activities and thus indicate effectiveness.
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Peer Review Study
This article describes an approach to virtual recruitment to engage rural residents with atrial fibrillation in a clinical trial during the COVID-19 pandemic. The authors mainly report process outcomes related to successful recruitment and retention of trial participants, and qualitative data on participants experiences.
Emerging Practices that show potential to achieve desirable public health outcomes in a specific real-life setting and produce early results that are consistent with the objectives of the activities and thus indicate effectiveness.
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Summary Report/Recommendations
The resource presents best practices for increasing access to COVID-19 testing and vaccination sites for people with disabilities or special health needs. It highlights physical, sensory, cognitive, and technological ease of access, and gives practical ideas for improving access throughout all steps of the testing/vaccination experience. Ideas include topics from accessible parking to ensuring clear communication despite the use of face masks.
Emerging Practices that show potential to achieve desirable public health outcomes in a specific real-life setting and produce early results that are consistent with the objectives of the activities and thus indicate effectiveness.
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Peer Review Study
This article presents the results of a non-randomized controlled trial comparing in-person vs. telemedicine treatment for pregnant women with opioid use disorder in South Carolina. The authors found no statistically significant difference in treatment outcomes for women who received care in-person vs. via telemedicine, and no statistically significant difference in outcomes for the newborns of women in these respective groups. The authors were unable to assign trial participants to telemedicine vs. in-person care at random due to the inability of some rural patients to attend treatment in person. Also, the sample size was not sufficient to achieve ~80% power to detect a difference between the two groups. At the same time, the practice strategy is considered useful for helping to deliver telehealth treatment for vulnerable populations, including pregnant and newly parenting people with substance use disorder, and people living in rural communities.
Emerging Practices that show potential to achieve desirable public health outcomes in a specific real-life setting and produce early results that are consistent with the objectives of the activities and thus indicate effectiveness.
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Case Study
This article summarizes the lessons learned from implementing telehealth in rural environments over the past 3 years and how to expand these efforts in the context of COVID-19. The needs of elderly populations in rural environments are also addressed. It provides 5 strategies for implementing telehealth in this context: (1) Preparation and Training; 2) Standardize and Expedite Credentialing; (3) Technology; (4) Broadband; and (5) Feedback and Rapid Improvement.
Best Practices that show evidence of effectiveness in improving public health outcomes when implemented in multiple real-life settings, as indicated by achievement of aims consistent with the objectives of the activities.
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Peer Review Study
This study evaluated the effectiveness of a telephone-based intervention using a Regional Operational Call Center as a primary method of providing COVID-19 information to rural communities and connecting those at risk with medical appointments. Results indicated that interaction with the call center led to an increased likelihood of scheduling a healthcare appointment and receiving a COVID test.
Emerging Practices that show potential to achieve desirable public health outcomes in a specific real-life setting and produce early results that are consistent with the objectives of the activities and thus indicate effectiveness.
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Peer Review Study
The purpose of this study was to provide healthcare decision-makers in North Carolina with information about the available health workforce in order to conduct workforce surge planning and to anticipate concerns about professional or geographic workforce shortages. Descriptive and cartographic analyses were conducted using licensure data to assess the supply of respiratory therapists, nurses, and critical care physicians. Licensure data were merged with population data and numbers of intensive care unit beds. Higher concentrations of healthcare workers were observed in urban areas. Critical care physicians were primarily based in areas with academic health centers.