Brief Summary of Minutes of Annual Meeting

Please see the attached meeting minutes.

The overall objective of this project are:

Objective 1: To conduct extensive higher order analyses in all waves of quantitative and qualitative data to further explore factors that create barriers or enhance the physical and mental health of diverse rural low-income families.

Objective 2: To understand the impact of the Affordable Care Act (ACA) on rural low-income families.

Objective 3: To disseminate findings, based on the proposed analyses, in order to further the empirical knowledge base and increase understanding among family serving professionals and policy makers regarding factors that contribute to or create barriers to the physical and mental health of diverse rural low-income families.

To achieve the objectives above, we set our milestones in each year. The 2016 milestones and their activities, outputs, and short-term outcomes are described below:

Objective 1: Analyze health and well-being of rural low-income families based on two waves of qualitative and quantitative data from the NC1171 project. Examine changes and stabilities of families and communities based on the historical data set created in Year 1.

Analyze health and well-being of rural low-income families based on two waves of qualitative and quantitative data from the NC1171 project.

We have working groups to analyze data in four topical areas: Economic Well-being, Family and Child Wellbeing, Food/nutrition/health, Multi-generational workgroups. Each group produced peer-reviewed publications, conference presentations, research briefs, e.t.c. Please see ‘Publications’ for details.

Examine changes and stabilities of families and communities based on the historical data set created in Year 1.

As we reported in the 2015-2016 project year, the group decided not to create a historical data set.

Objective 2: Collect, code and clean data from selected case study families. Collect, code, and clean data from community stakeholders.

Building on our previous work, we continued to revise interview protocol which examines the impact of healthcare reform on the lives of rural, low-income families. A pilot data collection was conducted in North Carolina team and the feedback from them was incorporated in revising the protocol. The revised protocol was then translated to Spanish so that low-income Latino families can be included in the study.

Information and language for the Institutional Review Board were shared among project members and many states obtained and/or are in process of obtaining approval from their universities’ IRB.

One state—University of Kentucky completed their interviews with mothers and their experiences were also shared with the group. The challenges shared by the UK team and UNC team included: difficulty identifying target mothers, participants’ not showing up for the interviews, lack of resource, and so on.

Finally, Kansas State University volunteered to be a data manager for the Case Study and proposed budget plan.

Objective 3: Distribution of selected policy briefs. Peer-reviewed publications and presentations representing multiple disciplines targeting diverse audiences (practitioners, researchers, policy makers).

To achieve this goal, we have created research briefs for all data collecting states. The brief include information about health status of rural families, access to healthcare, and challenged faced by rural communities. This “state reports” were created by University of Massachusetts team and shared with the project members. Each states will modify the research briefs according to their own interests.

A research brief titled Family Influence on Rural Child Health and Well-being has been created by a collaborative effort by Iowa State University and University of California, Davis. We plan to produce more topic-based research briefs in the 2016-2017 year.

Finally, the group members started to brainstorm various ideas on development of educational materials for elected officials, program administrators, students, and consumers.            

Grants:

Cancel-Tirado, D. – Robert Wood Johnson Foundation New Connections Grant. $100,000

Gilligan, M., & Greder, K. The Contributions of Adult Sibling Relations to Health and Well-Being in Hispanic Families. Untenured Faculty Seed Grant, College of Human Sciences, Iowa State University, 2015-2016. $10,000.

Greder, K., Rosmann Manatt Outreach Award. Latina immigrant mothers. College of Human Sciences, Iowa State University. $8,000.

Sano, Y., & Smith, S.  Understanding rural low-income families through the Patient Protection and Affordable Care Act. Vancouver mini-grant, Washington State University Vancouver, 2016-20017. $4,000.

Publications:

Bao, J., Pang, Y., Arellanes, J., Greder, K., & Smith, S. (2016). Mediating effects of family rituals and child behavior on food insecurity and rural mothers’ mental health. Poster presentation, Iowa State University.

Barnett, M. A., Yancura, L., Wilmoth, J., & Sano, Y. (2016). Wellbeing Among Rural Grandfamilies in Two Multigenerational Household Structures. GrandFamilies: The Contemporary Journal of Research, Practice and Policy, 3(1), 4.

Izenstark, D., Oswald, R.F., Holman, E.G., Mendez, S.N, and Greder, K. (2016). Rural, Low-Income Mothers’Use of Family-Based Nature Activities to Promote Family Health. Journal of Leisure Research, 48(2), 134–155.

Mammen, S., & Sano, Y. (under review). Degree of Privation among Rural Low-Income Families: Difference by Race and Ethnicity. Journal of Family and Economic Issues.

Mammen, S., Sano, Y., Braun, B., & Maring, L. (in preparation). Core Health Messages shaped by rural, low-income mothers: A result of participatory action research. Journal of Health Communications.

Routh, B., Greder, K., Lohman, B. & Neppl, T. (2016) Associations between Mental Health and Obesity. Report, National Council on Family Relations, Vol. 61.2, pp., F14-F16. Minneapolis, MN.

Sano, Y., Bolkan, C., & Glessing, J. (in preparation). Maternal depression and family comorbidity: Tracking depression trajectories of rural, low-income mothers. Journal of Health Care for the Poor and Underserved.

Sano, Y., Greder, K., & Mammen, S. (in press). Relationship between Rural, Low-Income Mothers’ Health Literacy and Depressive Symptoms in the Family Context. Medical Research Archives.

Wilmoth, J., Yancura, L., Barnett, M., & Oliver, B. (in preparation). The Contributions of Religiosity, Doubt, and Raising Grandchildren to Well-Being in Older Adults. Journal for the Scientific Study of Religion.

Yancura, L., Barnett, M., Mammen, S. & Sano, Y., (in preparation). Grandparents Help In Unexpected Ways: Complementary Analyses Of Grandparent Contributions To Low Income Rural Families. Journal of Family Issues.

Research/Policy Briefs:

Greder, K., Bao, J., Ontai, L. (2016).  Rural families speak about health project; Family influences on health and well-being of rural children in low-income households. Research Brief.

Bird, C., Mammen, S., Berry, A. & Dyk, T. (2016). Conducted the analyses and drafted the findings for four policy briefs, as follows:

1. Financial and other barriers to being insured
2. Mothers health care coverage and wait time to coverage
3. Mothers reported status in relation to health conditions
4. Work and family: Working all the time and no paid time off.

Conference Presentations:

Bao, J., and Greder, K. (2015). Relationship between Family Routines and Rural Latino Child Health.” Poster at the National Council on Family Relations 77th Annual Conference, Vancouver, BC.

Bao, J., Gudmunson, C.G., Greder, K., & Smith, S.R. (November 2016). The Impact of Family Rituals and Maternal Depressive Symptomology on Delinquency among Children: A Rural-Urban Comparison. National Council on Family Relations, Minneapolis, Minnesota.

Bao, J., Pang, Y.C., Arellanes, J., Greder, K., & Smith, S.R. (March 2016). The Mediating Effects of Family Rituals and Child Behaviors on Food Insecurity and Rural Mothers’ Mental Health. Society for Research in Human Development, Denver, Colorado.

Bao, J., Pang, Y.C., Arellanes,J., & Greder, K. (2016). Family Rituals, a Buffer for the Negative Effects of Food Insecurity on Rural Mothers’ Mental Health.” Poster presentation at the 2016 Society for Research in Human Development 20^th Biennial Conference. Denver, CO.

Berry, A. & Bird, C., Mammen, S. & Burney, J. (March 11, 2016). Rural families and health security. Family Economics and Resource Management Association, New Orleans, LA

Berry, A. (August 24, 2016). FCS and Rural Development: Rural Families Speak Project. Southern Region Program Leaders Network, Nashville, TN

Burney, J., Routh, B., Greder, K., and Greer, B. (2015, November). Associations between Maternal Depression and Family Eating and Physical Activity Behaviors.” Poster Symposium at the National Council on Family Relations 77th Annual Conference, Vancouver, BC.

Dyk, P., Routh, B., Katras, M., Greder, K., Mammen, S., and Alvarez, S. (2015, November). Barriers and Enablers to Good Health Experienced by Low-Income Rural Mothers.” Poster Symposium at the National Council on Family Relations 77th Annual Conference, Vancouver, BC.

Greder, K., Routh, B., Mammen, S., & Sano, Y. (November, 2016). The effects of rural low-income mothers’ understanding of health information on obesogenic behaviors and mothers’ body weight. National Council on Family Relations, Minneapolis, MN.

Lovely, S. & Dyk, P. H. (February 7, 2016). Low-Income Rural Women’s Health Perceptions. Southern Rural Sociological Association, San Antonio, TX.

Mammen, S., Berry, A., Bird, C., Burney, J. & Sano, Y. (November 2015). Empowering marginalized rural families through health security. Poster symposium at the annual meeting of the National Council on Family Relations, Vancouver, B.C.

Ontai, L., Hollis, N., Barnett, M. Greder, K., McGuire, J., Radunovich, H., & Sano, Y. (November 2015). Psycho-social risk and hilc obesity in low-income, rural families. Paper presentation at the annual meeting of the National Council on Family Relations, Vancouver, B.C.

Rodriguez, G. and Greder, K. (2016). Relationship between health insurance status of Latino children and their overall and dental health. Poster session presented at the Fourteenth Annual Cambio de Colores (Change of Colors) - Latinos in the Heartland Conference, Kansas City, Missouri.

Routh, B., Doudna, K., and Greder, K. (2015, November). Maternal Depression and BMI among Rural Low-Income Latina Immigrant Mothers.” Paper Symposium at the National Council on Family Relations 77th Annual Conference, Vancouver, BC.

Routh, B., Greder, K., Lohman, B., Neppl, T. (2016). Associations between mental health and obesity. Paper presented at Iowa State University.

Sano, Y. & Mammen, S. (June, 2016). A strategy to improve the health and well-being of rural, low-income families. Poster presentation at the annual meeting of the Society for Prevention Science, San Francisco, CA.

Sano, Y., Mammen, S., & Greder, K. (November, 2016). Degree of privation among rural Hispanic families. Poster presentation at the annual meeting of the National Council on Family Relations, Minneapolis, MN.

Sano, Y., McGuire, J., Greder, K., & Greer, B. (November 2015). Food insecurity, family environment and child health outcomes of rural families. Poster symposium at the annual meeting of the National Council on Family Relations, Vancouver, B.C.

Weisz, D., Ontai, L., Sutter, C., Taylor, J. (May 2016). Family Dinnertime Routines as a Moderator of Internalizing Problems in Food-Insecure Children. Poster presented at the University of California Undergraduate Research Conference, Davis, CA.

Community Presentations:

Greder, K. & Routh, B. (2016). Health and nutrition of Latino mothers. Presented to Iowa Nutrition Professionals. Des Moines, IA.

Wiles, B. B. (February 2016). Are You Research Ready?. Presented to Kansas State Research and Extension FCS Agents February Update, Manhattan, KS.

Wiles, B. B. (August 2016) Are You Research Ready?. Presented to Kansas State Research and Extension FCS Agents, August Update, Manhattan, KS.

Wiles, B. B. (September 2016). Health Disparities in Southwest Kansas. Presented to Southwest Kansas Live Well Consortium, Garden City, KS.

Teaching:

Smith, S. (2016). Case studies used in conflict theory course. Washington State University Vancouver.

Dyke, T. (2016) Use of protocol and consent form for research methods course for graduate students. University of Kentucky.

Others:

Bird, C. & Mammen, S. (2016). Drafted initial revision to case study protocol based on pilot study.

Bird, C. (2016). Pilot tested the participant screener and interview protocol for Affordable Care Act data collection.

Bird, C. (2016). Pilot tested IRB application for qualitative data collection to examine impacts of the Affordable Care Act. Provided the multistate project with language to use to address IRB concerns regarding issues including potential civil liability, participant exposure to fines due to insurance status, and procedures to encrypt audio files.

Dyke, T. (2016) Conducted Case Study interviews with Kentucky mothers.