Pandemic showed importance of telehealth, telemedicine



Telehealth and telemedicine, two initiatives that became ubiquitous because of the COVID-19 pandemic that has ravaged the globe in 2020, are here to stay, according to two alums from the College of Applied Health Sciences’ Master of Public Health program.

Lauren Geary, who graduated from the MPH program in 2016 and is now Program Manager, Adolescent and Behavioral Telehealth Initiatives at the American Academy of Pediatrics, says the virtual health programs will stick around even after a COVID vaccine is widely distributed and people are inoculated.

“Yeah, I do think that it will stick around, and I think that it does improve access to care for several populations,” she said. “And I think that generally, it’s more convenient for people sometimes. Obviously, it’s not going to be a replacement for in-person care, but I think people are realizing how valuable it can be as a complement to in-person care.”

Alexis Katzenbach is another MPH alum who is the Program Manager of ECHO Initiatives at AAP. ECHO stands for Extension for Community Health Care Outcomes, a telementoring program that brings together subject matter experts and health care providers with those interested in learning about a variety of topics, one being COVID-19.

“I definitely don’t think (telehealth is) going away,” she said. “A lot of the discussions we have around ECHO and a lot of other organizations that are running ECHOs are specifically talking about that right now. We’re running a flu ECHO right now. And it’s a lot of the same discussion. How are we doing this safely? What are innovative ways to get evidence-based guidance shared?”

As much as both support virtual health and wellness programs, virtual learning is not as clear-cut, Katzenbach said, stressing she was speaking for herself, and not AAP.

“I can speak to the fact that my husband is a high school science teacher. And it definitely affects (students’) social. There’s a big social impact and emotional impact not being able to see their friends,” she said. “There’s an impact on learning as well. Virtual learning is tough for a lot of people. So not being able to do it in person, not being able to receive the support that they otherwise would have in person is difficult. But I know that the social and emotional impact is huge.”

Parents are also struggling with the full-day virtual learning format, Katzenbach said, adding that students are spending the same number of hours at their computers as they would spend in the classroom.

Both agreed, however, that they are applying what they learned in the MPH program to their current occupations.

“Some of the things that stick with me relate to, I think program evaluation was a really beneficial course that we took and also health behavior theory,” Geary said. “We learned about cultural competence and equity within our program. And those are things that we want to continue to ingrain in all of our work. So that was really helpful to have an intro to all of that through my graduate education.”

For her part, Katzenbach said, “I use logic models in every single position that I’ve been in. That definitely applied the information we learned in our grant writing. We did a lot of grant writing in one of our classes. And that is something that I’ve done in every role as well. I did learn a lot from our health behavior theory class. I was working at a local health department right after graduation for about four years in chronic disease and tobacco-related work. So the health behavior theory class was really, really helpful in implementing programs related to that.”

Katzenbach said she had a close friend in the Community Health program at Illinois.

“Community Health really jived with my interests and was still along the health field. And so it seemed like a really good next step for me. And it turned out to be the right one.”

Editor’s note:

To reach Vince Lara-Cinisomo, email vinlara@illinois.edu.
 

Share on social

Related news

MPH student Faith Washington talks about her contact tracing work



Q: Is the work you’re doing for CUPHD different than what you were trained for in the MPH program?

A: In the MPH program, I am studying health behavior and promotion, so there are a few parallels regarding convincing people to do what is in their own best interest and the public’s best interest. I think the main difference is the turnaround time. For the health behaviors I study and would like to ultimately work to promote, the effects may not be seen as quickly as the impact of my advice regarding COVID-19 would be. For example, encouraging people to get screened for prostate cancer would potentially decrease the disease’s mortality rates because more cases are caught in the early stages. Still, that data wouldn’t be evident for quite a while, whereas encouraging people to isolate and quarantine has an almost immediate impact on the spread and identification of COVID-19 cases in the community.

Q: What field/industry were you hoping to work in upon graduation?

A: I hope to work in either public health program research, implementation, and evaluation at a state or federal level or to work as a health journalist. I am very passionate about improving the general public’s health literacy so that people can better advocate for themselves and their needs in medical settings and ultimately lead healthier happier lives.

Q: What kinds of questions do you ask in the work you’re currently doing?

A: As a contact tracer, I ask COVID-positive people how they feel, what symptoms they are experiencing if they require any resources like masks or food, and with whom they have recently interacted. At CUPHD, there is an emphasis on ensuring that everyone has what they need to safely and adequately quarantine or isolate. Hence, all of these questions are really important. I have found that giving out CUPHD contact information also reassures people that if they have a need that they don’t disclose during the interview, that is OK. We will still be prepared to assist them.

Q: Do you find people are willing to respond truthfully?

A: For the most part, people are willing to answer truthfully. It becomes relatively easy to tell when people are being dishonest. The one question that seems to get the most pushback is, “Do you have any close contacts?” Generally, people do not want to give out the personal information of their friends and family. Still, once I explain that we protect and respect everyone’s privacy and confidentiality and that we are only asking so that we may reach out to their close contacts and provide them with proper guidance and assistance regarding quarantine, people become more willing to disclose that information.

Q: Any frustrations that people are not listening to the health guidelines?

A: I become very frustrated when I see people not adhering to health guidelines because I see the negative impacts this virus has had on so many people and their families. It is hard to have one conversation with someone severely ill and potentially dying and then call another person who has mild symptoms or is asymptomatic and refuses to isolate and could be spreading this virus to others, who may then be my next severely ill call.

Q: Do people you know ask you for COVID advice?

A: My family doesn’t ask me for COVID advice because I always offer it before they have a chance. I am always in contact with my parents and brother to ensure that they are not succumbing to quarantine fatigue and they are continuing to follow all health guidelines. Fortunately, my family has been taking this very seriously, and my parents and brother are all able to work and learn from home right now. My friends sometimes ask me for COVID advice or ask me general questions if they don’t understand the reasoning behind something that public health officials are asking everyone to do right now. However, for the most part, my friends are also all still staying home and not really physically interacting with the world right now.

Q: What are you missing out on because of the pandemic, in terms of working face-to-face with people?

A: I think what I am most missing out on are the benefits of in-person classes. This is my first semester as an MPH grad student, but I studied communication with a concentration in health for my undergraduate degree here at UIUC, and there is such a stark difference between learning on Zoom and learning in a classroom. Mainly because there is so much collaboration necessary in public health courses. I am concerned that the connections I am making with my cohort are not as strong as they would have been had the semester been typical, but a lot of MPH students also work at CUPHD right now, so I do have more interaction with them through work, which I value a lot.

Q: What ways has COVID-19 affected you? Have you traveled? Have you been able to go home, see family?

A: I generally count myself as lucky because, while COVID has affected me a lot, it could have been much worse. Like many other class of 2020 students, I didn’t get a formal graduation, which was upsetting. I also have not been able to see my friends from high school for a very long time. We usually all congregate when we are home in Chicago, but due to the pandemic, we haven’t been home, and we haven’t been willing to potentially risk the health of our families by being together. I also have not traveled, which is rare for me. I usually travel to see friends or just take a trip to some landmark or interesting spot in the country, but most things are closed, and I am also not willing to get on a plane right now. While all of these things have been less than ideal, I count myself as fortunate because I do not personally know anyone who has died from COVID, and I was the only member of my immediate family and friend group to ever catch the virus, which I recovered from.

Editor’s note:

To reach Vince Lara-Cinisomo, email vinlara@illinois.edu.
 

Share on social

Related news

MPH student Maggie Hamielec talks about working as a contact tracer and COVID



Q: Is the work you’re doing for CUPHD different than what you were trained for in the MPH program?

A: I am currently working as a contact tracer with the CUPHD. One thing I love about this position is a public health background is not necessary, which allows many more individuals to be able to help out during this pandemic. While being in the MPH program is a bonus, I don’t think it is a training that is explicitly needed to be an effective contact tracer.

Q: What field/industry were you hoping to work in upon graduation?

A: I would like to either work in research on sexual health/health education or work in infectious disease epidemiology.

Q: What kinds of questions do you ask in the work you’re currently doing?

A: My job as a contact tracer has two main tasks: interviewing confirmed COVID-19 cases and notifying individuals who were in contact to a confirmed case that they need to quarantine.

During positive case interviews, we ask about symptoms and pre-existing conditions to collect epidemiologic data, known exposures to other positive cases to determine how the virus is being spread in the community and information about employment, household members and socializing to identify close contacts that will need to quarantine. We also ask if the cases have everything to isolate safely and do everything we can to provide them with resources needed such as food, shelter, housing/income resources, masks, thermometers and toiletries.

During close contact notifications, we tell the individuals the date of exposure, explain how long and why they will need to quarantine, educate them on symptoms, provide them information on testing and as with positive cases, we also ask about any resources needed to make sure they can quarantine safely.

For both groups, we also monitor the individuals throughout their isolation/quarantine periods using health assessments, which ask about symptoms, if the person has had to leave isolation/quarantine for any reason and as a way to follow again to make sure the individual is able to isolate/quarantine safely.

Q: Do you find people are willing to respond truthfully?

A: Not always. It definitely varies from person to person. I have spoken to individuals who are willing to tell me every single place they have been in the prior month and I have people who swear at me for asking how they are feeling because that is “personal information”. I think people often fear that they will get in trouble for telling us who they have been around or where they have been. I can understand why some feel that way, but CUPHD is more concerned about preventing the spread of COVID-19 within our community than it is with punishing those not following health guidelines.

Q: Any frustrations that people are not listening to the health guidelines?

A: Yes! It is incredibly frustrating to hear about weddings, parties on campus or even people knowingly leaving isolation while infectious. I understand the burnout and pandemic feeling that most, if not all of us are currently feeling, but ignoring our problems never works. As time has gone on, my frustrations are less about the individuals within our community, and more about the federal government continuing to dismiss the pandemic. This is a team effort and without clear, well-communicated national health guidelines, we are going to continue to struggle with controlling the spread of COVID-19.

Q: Do people you know ask you for COVID advice?

A: I do have a lot of family and friends ask for COVID advice. Most often it is about what qualifies as close contact and how concerned one should be if they were exposed. I also have explained infectious periods more times than I can count (cue an “If I had a nickel for every time I was asked about COVID, I could afford to pay off my student loans” joke). It does get a little bit tiring, but the whole reason I am in public health is because I am passionate about community wellbeing. Knowing that I am someone whose opinion and experience is trusted and valued by my loved ones keeps the burnout at bay and reminds me what I am working hard for!

Q: What are you missing out on because of the pandemic, in terms of working face-to-face with people?

A: As someone who considers themself an extravert, it is working face-to-face! One thing this pandemic has really halted is the ability to socialize with people I work with. Zoom calls and social distancing make it very hard to connect with people outside of professional/academic settings.

Q: What ways has COVID-19 affected you? Have you traveled? Have you been able to go home, see family?

A: My mom lives in Poland and I had planned on visiting her in August and unfortunately was not able to due to the pandemic. Last time I saw her was in 2017 when I had just graduated high school and I wanted to keep up the post-grad tradition as I finished my undergraduate degree this summer as well.

I have not traveled much. I do enjoy being outdoors, so I have gone hiking a few times in Kickapoo State Park and Shawnee National Forest when the weather was nice!

I have gone home to the suburbs to see my dad, something I would not be comfortable doing if I wasn’t privileged and able to quarantine before and after seeing him, in addition to test frequently thanks to being a student here at UIUC and having a job that allows me to maintain social distance and mandates proper PPE.

Editor’s note:

To reach Vince Lara-Cinisomo, email vinlara@illinois.edu.
 

Share on social

Related news

MSHA alum Zaid Ahmed talks about his COVID-19 contact tracing work



Q: Is the work you’re doing for CUPHD different than what you were trained for in the MSHA program?

A: I would say that the work I did for CUPHD wasn’t really different from the MSHA, per se. Contact tracing is essentially just calling infected cases and close contacts to gather information on their symptoms, job status, family information etc. It isn’t really like anything I learned in my MSHA program but I know that my role is a small part of the study of epidemiology. I’m not applying anything from my academics but I am just a part of the epidemiological system, if that makes sense.

Q: What field/industry were you hoping to work in upon graduation?

A: I was hoping to work in the data/technology/analytics side of healthcare upon graduation.

Q: What kinds of questions do you ask in the work you’re currently doing?

A: I ask people who they’ve come into contact with, if their family members have any chronic disease that makes them vulnerable to COVID-19, basic information like address and birthdays, and whether or not they’ve experienced any symptoms.

Q: Do you find people are willing to respond truthfully?

A: People have been pretty truthful with me.

Q: Any frustrations that people are not listening to the health guidelines?

A: There have been several people who were frustrated with their two-week quarantine and some people have admitted to breaking it by going out somewhere. It is frustrating, but I can’t police them 24/7.

Q: Do people you know ask you for advice on dealing with COVID-19?

A: People have not asked me for COVID advice but they have asked where the cases are concentrated so they know to avoid those locations.

Q: What are you missing out on because of the pandemic, in terms of working face-to-face with people?

A: I’m missing out on the opportunity to see my fellow MSHA students and the ability to meet my professors in person.

Q: What ways has COVID-19 affected you? Have you traveled? Have you been able to go home, see family?

A: COVID made my dad lose his job although he’s managed to find another job. I haven’t been able to see my cousins in a long time. I have been spending these past few months at home with family so it hasn’t been all bad.

Editor’s note:

To reach Vince Lara-Cinisomo, email vinlara@illinois.edu.
 

Share on social

Related news

College of Applied Health Sciences
110 Huff Hall
1206 South 4th Street
Champaign, IL 61820
(217) 333-2131