An injury care clinic (ICC) as part of a comprehensive campus-wide healthcare system is a cost-effective way to optimize the flow of patient care utilizing a collaborative model of healthcare in a time of physician shortage. Services include: basic first aid, injury evaluation, acute injury care, basic rehabilitation, preventative techniques including taping and stretching, and professional referrals. The ICC provides care to previously underserved campus community members, focusing on: club sport and intramural athletes, recreation center users, and the general student body, in addition to faculty and staff, going beyond the varsity athlete. The ICC functions through the efforts of athletic trainers, physicians, fitness specialists, administrators, faculty, and students across disciplines. After 3 years, the clinic has serviced more than 2,500 unique patients exceeding 4,800 patient encounters, demonstrating outcomes that access to affordable healthcare options with a licensed healthcare provider are warranted and needed.
Shari D. Bartz-Smith and Amy Campbell
Katie Smith, L. Lanningham-Foster, Amy Welch, and Christina Campbell
Innovative methods are warranted to optimize prenatal outcomes. This study’s objective was to determine if a web-based behavioral intervention (BI) can prevent excessive gestational weight gain (GWG) by increasing physical activity (PA).
Participants were randomized to usual care (UC; n = 21) or BI (n = 24) between 10 to 14 weeks gestation. GWG, PA, and diet were assessed at baseline, mid-, and late pregnancy.
No differences in GWG or adherence to GWG recommendations presented between groups. Total UC MET-minutes significantly decreased from baseline to late-pregnancy (1,234 ± 372 MET-minutes, P = .013). Mid-pregnancy sustained PA was greater for BI than UC (20-minute PA bouts: 122 ± 106 vs. 46 ± 48 minutes/week, P = .005; 30-minute PA bouts: 74 ± 70 vs. 14 ± 24 minutes/week, P < .001), and greater for BI at mid-pregnancy compared with baseline (20-minute PA bouts: 61.3 ± 21.9; 30-minute PA bouts: 39.6 ± 14.8, both P < .05). BI energy intake at mid-pregnancy significantly increased from baseline (336 ± 127 kcals, P = .04) and was significantly greater than UC (2,503 ± 703 vs. 1,894 ± 594, P = .005).
Sedentary pregnant women should increase PA but may need additional dietary counseling to prevent excessive GWG.