en-us http://scholarworks.arcadia.edu/showcase All comments from Arcadia University Capstone Showcase rainbethttps://scholarworks.arcadia.edu/showcase/2024/pa/84/#IDComment1128973042now this is what i call a great post Thu, 7 May 2026 19:29:27 +0000https://scholarworks.arcadia.edu/showcase/2024/pa/84/#IDComment1128973042 Sophie Farleyhttps://scholarworks.arcadia.edu/showcase/2026/public_health/5/#IDComment1128943646 Sara, great work! I think there is a lot of misconception when it comes to influenza vaccination and your study is incredibly relevant in addressing this issue. In our coursework, we’ve learned that SDOH can be influenced by geographic differences. While completing your capstone, did you consider subgroup analysis on location, specifically comparing urban populations to rural populations? Thank you! Mon, 4 May 2026 02:33:54 +0000https://scholarworks.arcadia.edu/showcase/2026/public_health/5/#IDComment1128943646 Sophie Farleyhttps://scholarworks.arcadia.edu/showcase/2026/public_health/2/#IDComment1128943511 Redate, wonderful presentation. I am curious on your thoughts on relying on self-reported mental health surveys and how it may impact the of depressive symptoms reported. Do you think that stigma or other factors may contribute to underreporting in survey data? Also, given you were the only one to do a cross-sectional study, do you feel there were any specific limitations or strength to this study design compared to other ones? Great job! Mon, 4 May 2026 02:16:35 +0000https://scholarworks.arcadia.edu/showcase/2026/public_health/2/#IDComment1128943511 Alyssa Johnsonhttps://scholarworks.arcadia.edu/showcase/2026/public_health/4/#IDComment1128943421Despite the growing emphasis on the SDOH, the majority of childhood obesity interventions still emphasize education and behavior change with inadequate attention to upstream social determinants. The incorporation of SDOH often wasn't considered in intervention design. Another possible reason for not including more domains is that addressing the SDOH require more time and financial resources. There was no pattern between the interventions that addressed 3 or more domains and received an effectiveness score of 1. Of the 7 studies that addressed 3 or more domains, 3 received an effectiveness score of 1, and 4 received an effectiveness score of 0. Economic stability was the least frequently addressed domain. A large body of research suggests that economic stability is an important driver of childhood obesity with factors such as employment, food security, housing stability, and income all shaping dietary and physical activity behaviors. Mon, 4 May 2026 02:02:23 +0000https://scholarworks.arcadia.edu/showcase/2026/public_health/4/#IDComment1128943421 Sophie Farleyhttps://scholarworks.arcadia.edu/showcase/2026/public_health/3/#IDComment1128943384Alyssa, I was shocked to find that there were only 4 US studies. However, even when compared to the total number of international studies, it appears the topic hasn't been widely studied in other regions either. It's possible that surgical specialties that are very procedure based and also rely heavily on visual assessment may be slower to prioritize telemedicine as it may take more resources to replicate the same outcome. With that being said, I'm not sure of the answer. I think satisfaction was overlooked because providers are prioritizing health outcome. I do think that patient (and provider) satisfaction is important though! Patient facing care directly impacts overall experience. Data on satisfaction could provide a better understanding of the system and ways to improve it. Thanks for your question! Mon, 4 May 2026 01:57:51 +0000https://scholarworks.arcadia.edu/showcase/2026/public_health/3/#IDComment1128943384 Sophie Farleyhttps://scholarworks.arcadia.edu/showcase/2026/public_health/3/#IDComment1128943309Hi Dr. Clem, Thank you for your question! Studies that noted messaging could be classified as both asynchronous or synchronous communication approaches and sometimes it overlapped. Asynchronous messaging included communication similar to email or EHR-based messaging where providers could check it at their own leisure. Synchronous modalities were similar to real-time communication almost like text-message exchanges or live chats. If we considered the digital image transfer as asynchronous messaging, certainly all of the studies would have included it but for purposes of this review, those were excluded and only provider to provider communication was considered. I agree that hybrid could certainly widen access, although I'm interested if asynchronous methods would impact timely care in such time sensitive cases. Lastly, I was hoping more on satisfaction would come up! I was disappointed as this is a huge factor in feasibility and success/failure assessment. Thank you! Mon, 4 May 2026 01:46:34 +0000https://scholarworks.arcadia.edu/showcase/2026/public_health/3/#IDComment1128943309 Sophie Farleyhttps://scholarworks.arcadia.edu/showcase/2026/public_health/3/#IDComment1128943150Hi Kristina, Great question! The variation in outcomes is likely multifactorial. However, there was little information on the patients specific clinical factors. I am interested in knowing more information on the patient cases specifically. For example, identifying predictive factors contributing to neuro-prognostication could possibly clarify this. It is possible that outcomes varied based on severity of clinical presentation, although any study that explored this should certainly adjust for those confounding variables. I believe that because we live in an increasing digital world, the use telemedicine will likely grow. Of course, its effectiveness relies heavily on the support of infrastructure, implementation, and the user themselves. The positive and negative outcomes were only seen in one region but I'm not sure I can make any meaningful assessment as to why, there just wasn't enough data to explain it unfortunately. There wasn't any information on whether those areas were lower resource when compared to others. Interestingly, the study didn't specify if the negative outcome was because of video issues from the referring site or referring provider. Clarifying this would certainly help. For example, if it was the referring site, perhaps this issue was secondary to barriers with poor integration and equipment availability. Great question! Mon, 4 May 2026 01:24:16 +0000https://scholarworks.arcadia.edu/showcase/2026/public_health/3/#IDComment1128943150 Sophie Farleyhttps://scholarworks.arcadia.edu/showcase/2026/public_health/3/#IDComment1128943091Redate** Thank you! Mon, 4 May 2026 01:13:52 +0000https://scholarworks.arcadia.edu/showcase/2026/public_health/3/#IDComment1128943091 Sophie Farleyhttps://scholarworks.arcadia.edu/showcase/2026/public_health/3/#IDComment1128943087Dr. Redington, Thank you for your question. At the systems level, hospital systems will need expansion in infrastructure support, things like reliable internet and vetted/reliable telehealth platforms in these under-served areas. In the healthcare system, training on telemedicine systems and slow integration into these emergent cases, ensuring protocols and pathways are appropriately followed is key. This will hopefully reduce failure rates and avoidable errors in care. Mon, 4 May 2026 01:13:15 +0000https://scholarworks.arcadia.edu/showcase/2026/public_health/3/#IDComment1128943087 Sophie Farleyhttps://scholarworks.arcadia.edu/showcase/2026/public_health/3/#IDComment1128943056Hi Sara, Great question! there isn't really any data that can explain why this is the case. The studies that reported the negative outcome did say that delays were due to issues with set up time and consultation duration suggesting this was a platform and/or user issue. I think its possible the countries didn't have the infrastructure or network support to use video but it could also be random because it was such a low percentage. Thank you! Mon, 4 May 2026 01:09:23 +0000https://scholarworks.arcadia.edu/showcase/2026/public_health/3/#IDComment1128943056 Sophiehttps://scholarworks.arcadia.edu/showcase/2026/public_health/1/#IDComment1128943030Kristina, I am both not surprised and very excited to see your capstone is on a dentistry topic! I’m interested to know why C-Reactive Protein was used as a marker. I’m not surprised you found that there was no improvement reported. CRP is so incredibly non-specific and typically will indicate any sort of generalized inflammation in the body. Is it possible the CRP high sensitivity but low could cause misleading results? Do you feel that there is a trend leading to Er: YAG over the current standard of care? Great Job! Mon, 4 May 2026 01:05:44 +0000https://scholarworks.arcadia.edu/showcase/2026/public_health/1/#IDComment1128943030 Sophie Farleyhttps://scholarworks.arcadia.edu/showcase/2026/public_health/4/#IDComment1128942951Alyssa, this is a great presentation! I really like how you used the CDC’s SDOH definitions as part of the structure of your paper, building on known concepts. Do you have any insight into why interventions typically targeted less than 3 domains? Additionally, was there any correlation between those interventions to the ones that received effectiveness scores of 1? Of the lower integration score SDOH categories, which do you feel would be most beneficial target regarding intervention? Nicely Done! Mon, 4 May 2026 00:54:04 +0000https://scholarworks.arcadia.edu/showcase/2026/public_health/4/#IDComment1128942951 Kristinahttps://scholarworks.arcadia.edu/showcase/2026/public_health/1/#IDComment1128942271Er:YAG laser therapy shows benefits when used with SRP, but it’s best used as an adjunct, and not replacement. SRP would still remain the “traditional” gold standard. If Er:YAG were classified as part of the standard of care, it would increase upfront costs due to equipment and training, but it could also push insurance companies to cover it which improves patient access. Rather than replacing SRP, it would give clinicians an additional tool to help patient outcomes. I appreciate your comment on medical-dental integration, I agree it is such an important area, and it’s great you’ve had experience with it. Sun, 3 May 2026 23:01:04 +0000https://scholarworks.arcadia.edu/showcase/2026/public_health/1/#IDComment1128942271 Alyssa Johnsonhttps://scholarworks.arcadia.edu/showcase/2026/public_health/1/#IDComment1128941373Great job with this Kristina. Given the positive results you saw of Er:YAG laser treatment, do you recommend that this treatment be classified as a recommended standard treatment rather than as an adjunct treatment? I'm curious, what effect would classifying Er:YAG as a standard of care have? Would it lower the cost of this treatment? Would it be recommended over SRP or just provide clinicians with another option? As a side note, I think it's great that you discussed the importance of medical dental integration because that was the focus of one of my projects during my internship! Sun, 3 May 2026 20:08:12 +0000https://scholarworks.arcadia.edu/showcase/2026/public_health/1/#IDComment1128941373 Alyssa Johnsonhttps://scholarworks.arcadia.edu/showcase/2026/public_health/2/#IDComment1128941284Hi Redate, great job with this. You were one of the only students who didn't do a systematic literature review for their capstone. I'm curious, what was the most challenging or time-consuming part of using a quantitative research design? Sun, 3 May 2026 19:51:34 +0000https://scholarworks.arcadia.edu/showcase/2026/public_health/2/#IDComment1128941284 Alyssa Johnsonhttps://scholarworks.arcadia.edu/showcase/2026/public_health/5/#IDComment1128941222You mentioned that not many programs incorporated the SDOH into their design. I'm curious to know which intervention types from your data collection included SDOH directly in their program design? Were they all the same intervention type? Were they the same programs that were most effective? Sun, 3 May 2026 19:36:38 +0000https://scholarworks.arcadia.edu/showcase/2026/public_health/5/#IDComment1128941222 Alyssa Johnsonhttps://scholarworks.arcadia.edu/showcase/2026/public_health/3/#IDComment1128940933Hi Sophie, great work on this! You mentioned that only 4 studies took place in the U.S. Why do you think there is so little research on this topic in the U.S.? You also noted that clinical and process outcomes were assessed in the majority of the studies, whereas only one evaluated satisfaction. Why do you think satisfaction was overlooked in most studies, and do you think telemedicine could benefit from evaluating patient satisfaction with it? Sun, 3 May 2026 18:46:20 +0000https://scholarworks.arcadia.edu/showcase/2026/public_health/3/#IDComment1128940933 Alyssa Johnsonhttps://scholarworks.arcadia.edu/showcase/2026/public_health/4/#IDComment1128940837My interest in this topic is twofold. First, as someone who grew up playing sports and also helping coach younger athletes, I've always been passionate about child health and wellbeing and the social, mental, and physical benefits of organized sports. This obviously overlaps with childhood obesity, with many programs focusing on encouraging behavior change such as increased physical activity and improved nutrition habits. Regarding my interest in the social determinants of health (SDOH), my first introduction to this topic was during my participation in a community medicine program during my undergraduate. In this program, I worked alongside a paramedic to connect with community members and help them access the medical and social resources they needed to overcome barriers to care. The fact that the SDOH have such a profound influence on health outcomes and health disparities, but are often overlooked in favor of clinical medical care or behavior change made me want to further explore how the SDOH could be integrated into public health interventions. Sun, 3 May 2026 18:25:38 +0000https://scholarworks.arcadia.edu/showcase/2026/public_health/4/#IDComment1128940837 Alyssa Johnsonhttps://scholarworks.arcadia.edu/showcase/2026/public_health/4/#IDComment1128940707The findings revealed that interventions targeting predominantly non-White populations had higher average SDOH integration scores compared to those targeting predominantly White populations. The White racial/ethnic majority subgroup included the studies with both the highest and lowest total SDOH integration score (6 and 0 respectively). The non-White racial/ethnic majority group had more emphasis on the social and community context and neighborhood and built environment domains, with 5 out of 9 studies incorporating at least one of those domains, compared to 4 out of 14 studies in the White racial/ethnic majority subgroup. Both groups had a heavy emphasis on education, with all interventions addressing education, except for one in the non-White majority subgroup (Bunik et al., 2021) and one in the White majority subgroup (Wendel et al., 2016). The higher average SDOH integration in the non-White majority subgroup may reflect a greater recognition among researchers of the role that systemic inequities play in shaping the health outcomes of marginalized populations. As a result, programs designed for minority group populations may be more likely to incorporate culturally tailored approaches, community engagement, and built environment considerations. Sun, 3 May 2026 18:10:35 +0000https://scholarworks.arcadia.edu/showcase/2026/public_health/4/#IDComment1128940707 Alyssa Johnsonhttps://scholarworks.arcadia.edu/showcase/2026/public_health/4/#IDComment1128940527Yes, there are certainly additional non-behavioral factors beyond the five SDOH impacting childhood obesity outcomes. The Healthy People 2030 domains and CDC criteria just provided an established and organized framework to keep data collection structured and transparent. My scoring system was definitely an oversimplification of a far more complex construct. For instance, while discrimination would fall under the social and community context domain, it still doesn't fully capture structural racism and how things such as historic redlining and school funding inequities shape neighborhood opportunity, food environment, and education quality. Another broader influence that doesn't fit into the Healthy People domains is the food industry. For example, the marketing of ultra-processed foods to kids, product pricing and placement, and lobbying play a role in children's exposure to unhealthy food products. Future research should focus on how to capture these broader structural or systemic influences when examining SDOH integration. For instance, pairing the Healthy People 2030 SDOH domain framework with other multi-level, policy, or systems-based variables such as neighborhood indices, structural racism indices, policy exposure measures, or food environment metrics would more fully capture these additional structural/systemic influences. Sun, 3 May 2026 17:45:57 +0000https://scholarworks.arcadia.edu/showcase/2026/public_health/4/#IDComment1128940527