https://padlet.com/andrewespringer/vc7nuu8pc9e8hdzi Click on "+" and add your pair share ideas. Include your initials for large group share-back en-us 2021-12-17 22:32:35 UTC 2022-02-15 20:16:33 UTC hello@padlet.com andrewespringer https://padlet.com/andrewespringer/vc7nuu8pc9e8hdzi/wish/1954344208 2021-12-17 22:34:14 UTC https://padlet.com/andrewespringer/vc7nuu8pc9e8hdzi/wish/1954344208 andrewespringer https://padlet.com/andrewespringer/vc7nuu8pc9e8hdzi/wish/1954344530 2021-12-17 22:34:52 UTC https://padlet.com/andrewespringer/vc7nuu8pc9e8hdzi/wish/1954344530 https://padlet.com/andrewespringer/vc7nuu8pc9e8hdzi/wish/2036650293 Changes in policies that have obvious ties to health such as access to health insurance may outweigh focus on individual behavior to seek healthcare services by removing barriers to access in the first place. Addressing the larger environmental issue in this instance has the potential to simultaneously address the personal-level determinant.
  ]]> 2022-02-08 22:53:15 UTC https://padlet.com/andrewespringer/vc7nuu8pc9e8hdzi/wish/2036650293 https://padlet.com/andrewespringer/vc7nuu8pc9e8hdzi/wish/2036658709 Challenges to focus on environmental and policy vs. individual include undermining the magnitude/ impact of aspects such as psychosocial determinants of individual behavior undeterred by enacted policies/ availability of resources. E.g., fear and fatalism in diabetes patients persist despite a policy enacted by the Centers for Medicare and Medicaid (CMS) recommending and providing reimbursement for diabetes screening.]]> 2022-02-08 23:02:01 UTC https://padlet.com/andrewespringer/vc7nuu8pc9e8hdzi/wish/2036658709 earnestclayton https://padlet.com/andrewespringer/vc7nuu8pc9e8hdzi/wish/2049421156 Changing policy and environment can contribute positively with regard to a community if culture and and social norms are taken into consideration. 
 Benefits: 
1. Better access to resources.
2. Environmental
3. Community driven ]]> 2022-02-15 19:44:29 UTC https://padlet.com/andrewespringer/vc7nuu8pc9e8hdzi/wish/2049421156 https://padlet.com/andrewespringer/vc7nuu8pc9e8hdzi/wish/2049425112 changing environments, policy, and systems may have more sustainable/long-term impacts on changing many individuals health behavior through shared resources/spaces, versus trying to reach individuals who vary greatly in health needs. a possibly more focused, broad reaching approach]]> 2022-02-15 19:46:23 UTC https://padlet.com/andrewespringer/vc7nuu8pc9e8hdzi/wish/2049425112 https://padlet.com/andrewespringer/vc7nuu8pc9e8hdzi/wish/2049425282 Focusing on environment and policy help eliminate certain barriers that may hinder performance of health behavior such as cost of health care, access to insurance coverage, developing policies that encourage healthy behaviors. ]]> 2022-02-15 19:46:27 UTC https://padlet.com/andrewespringer/vc7nuu8pc9e8hdzi/wish/2049425282 https://padlet.com/andrewespringer/vc7nuu8pc9e8hdzi/wish/2049425354 It helps support the individual who is trying to make the behavior change]]> 2022-02-15 19:46:30 UTC https://padlet.com/andrewespringer/vc7nuu8pc9e8hdzi/wish/2049425354 https://padlet.com/andrewespringer/vc7nuu8pc9e8hdzi/wish/2049425470 When you focus on changing environments, you might have a better outreach instead of just focusing on one individual. Additionally, environmental policies and changes could also be tailored to more cultures/norms (culturally competent) and it could also address shortcomings that are prevalent in the community.]]> 2022-02-15 19:46:34 UTC https://padlet.com/andrewespringer/vc7nuu8pc9e8hdzi/wish/2049425470 https://padlet.com/andrewespringer/vc7nuu8pc9e8hdzi/wish/2049426562 Focusing on environments/policy will facilitate opportunities and access to resources that marginalized populations typically do not have access to. By creating these opportunities, the intent is to reduce barriers that many marginalized communities come across. ]]> 2022-02-15 19:47:10 UTC https://padlet.com/andrewespringer/vc7nuu8pc9e8hdzi/wish/2049426562 https://padlet.com/andrewespringer/vc7nuu8pc9e8hdzi/wish/2049427535 Changing policy and environmental aspects can be very difficult due to rules, regulations, and red tape.]]> 2022-02-15 19:47:38 UTC https://padlet.com/andrewespringer/vc7nuu8pc9e8hdzi/wish/2049427535 andrewespringer https://padlet.com/andrewespringer/vc7nuu8pc9e8hdzi/wish/2049427971 "Trickle-Down Effect"
Sustainable/ long-term impact of environmental change that can affect larger number
Broader reach/ culturally competent
"Support from Environment!"
Policy: has multiple effects, including awareness]]> 2022-02-15 19:47:51 UTC https://padlet.com/andrewespringer/vc7nuu8pc9e8hdzi/wish/2049427971 https://padlet.com/andrewespringer/vc7nuu8pc9e8hdzi/wish/2049428067 I think one benefit of specifically focusing on changing environments & policy versus a focus on individual behavior is that the policy can have a more wide-spread change on a school or organization and an entire population vs. an individual]]> 2022-02-15 19:47:54 UTC https://padlet.com/andrewespringer/vc7nuu8pc9e8hdzi/wish/2049428067 https://padlet.com/andrewespringer/vc7nuu8pc9e8hdzi/wish/2049428319 if individuals who are not empowered or included in the spaces of policy or environmental spaces of power, the health needs of individuals could be overlooked or not addressed. allowing policy change to be influenced by an inclusive group of individuals is very important, and yet hard to do because of power in politics, etc.]]> 2022-02-15 19:48:03 UTC https://padlet.com/andrewespringer/vc7nuu8pc9e8hdzi/wish/2049428319 https://padlet.com/andrewespringer/vc7nuu8pc9e8hdzi/wish/2049430867 Changing environments and policy can benefit the community as a whole, while a focus on the individual behavior is more specific]]> 2022-02-15 19:49:23 UTC https://padlet.com/andrewespringer/vc7nuu8pc9e8hdzi/wish/2049430867 https://padlet.com/andrewespringer/vc7nuu8pc9e8hdzi/wish/2049431599 Implementation of environmental and policy related changes are difficult compared to individual changes. ]]> 2022-02-15 19:49:44 UTC https://padlet.com/andrewespringer/vc7nuu8pc9e8hdzi/wish/2049431599 andrewespringer https://padlet.com/andrewespringer/vc7nuu8pc9e8hdzi/wish/2049432237 A CMS policy for reimbursement: they are not doing it for fear that it is too broad focused that it ignores little things that affect change. 
Unfunded policies! And then enforcement dwindles...
Sometimes environmental changes don't take into account other factors (e.g., distance to that resource).
Policy takes a long time... individual interventions can be implemented more quickly.  And sometimes they don't trickle down
If folks who are trying to implement the policy but are not implementing themselves... behavior diminishes ]]> 2022-02-15 19:50:04 UTC https://padlet.com/andrewespringer/vc7nuu8pc9e8hdzi/wish/2049432237 https://padlet.com/andrewespringer/vc7nuu8pc9e8hdzi/wish/2049434637 Some challenges are that environmental policies might miss variables that are specific to communities and individuals living in it. Environmental policies might also not be useful in ascertaining human behavior and behavior patterns.]]> 2022-02-15 19:51:26 UTC https://padlet.com/andrewespringer/vc7nuu8pc9e8hdzi/wish/2049434637 https://padlet.com/andrewespringer/vc7nuu8pc9e8hdzi/wish/2049435474 focus on environmental policy helps to address, situations outside of the individual such as policy on inclusion of some vaccine in the nation's immunization routine. (Availability, accessibility and subsidized)]]> 2022-02-15 19:51:54 UTC https://padlet.com/andrewespringer/vc7nuu8pc9e8hdzi/wish/2049435474 earnestclayton https://padlet.com/andrewespringer/vc7nuu8pc9e8hdzi/wish/2049438242 When you have multiple stakeholders that do not share the same vision.
Legislation & local government. ]]> 2022-02-15 19:53:27 UTC https://padlet.com/andrewespringer/vc7nuu8pc9e8hdzi/wish/2049438242 https://padlet.com/andrewespringer/vc7nuu8pc9e8hdzi/wish/2049439132 Very hard to get policy changes to go through and all policy changes might not be the concern of the entire population versus focusing on an individuals person needs. ]]> 2022-02-15 19:53:54 UTC https://padlet.com/andrewespringer/vc7nuu8pc9e8hdzi/wish/2049439132 https://padlet.com/andrewespringer/vc7nuu8pc9e8hdzi/wish/2049439631 At times policies are passed and little enforcement or support for enforcement is passed along with it and can lead to little impact. ]]> 2022-02-15 19:54:09 UTC https://padlet.com/andrewespringer/vc7nuu8pc9e8hdzi/wish/2049439631 https://padlet.com/andrewespringer/vc7nuu8pc9e8hdzi/wish/2049480531 thinking about unintended consequences -- one aspect of policy change is changing social and cultural norms over time, ideally to empower and improve the health of individuals and communities. however, if a policy that seeks to empower a marginalized group, i.e.  thinking about LGBTQ+ inclusive policies/ anti-discrimination policies that are focused on reducing bullying in schools or improving health outcomes of LGBTQ+ people -- yet are these policy changes always having the impact they seek? for example, policies that are more skeletal such as anti-discrimination policies, versus those policies coupled with training for school staff, parents and students, or curriculum that is LGBTQ+ inclusive, may have a greater impact on social and cultural norm changing and progress. furthermore, policies may impact practices that are intentionally inclusive, i.e. sharing pronouns at the beginning of meetings etc., but also may make some people who are LGBTQ+ uncomfortable (feeling outed, feeling like they need to decide a pronoun when they may not know). I think first hearing from individuals/ needs assessments or other informational methods to collect data/ are really important, and to have some of this advocacy work led by individuals the policy seeks to impact, is really essential to making culturally/socially relevant change]]> 2022-02-15 20:15:53 UTC https://padlet.com/andrewespringer/vc7nuu8pc9e8hdzi/wish/2049480531