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Community-Based Intervention Planning. Presented by Susan Tortolero, PhD Christine Markham, PhD Texas Public Health Training Center 3rd Annual Summer Institute Houston, Texas July 12, 2006
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Community-Based Intervention Planning Presented by Susan Tortolero, PhD Christine Markham, PhD Texas Public Health Training Center 3rd Annual Summer Institute Houston, Texas July 12, 2006 The University of Texas Prevention Research Center, Center for Health Promotion and Prevention Research
Interview Questions • Name • Title and Organization • Public health area(s) • Expectations for today’s session • Something fun you did over the weekend
Session Overview Morning • Community Involvement and the Collaborative Process • Small Group Work - Community Assessment Break • Intervention Mapping Overview Lunch (11:30-1pm) • Small Group Work - Intervention Mapping • Wrap-up
Community-Based Intervention Planning:Learning Objectives • Demonstrate understanding of the intervention planning process and the need to incorporate theory and science in intervention development • Recognize the need to include community perspective in intervention planning • Demonstrate the ability to apply the intervention mapping process in the development of programs
Community Involvement and the Collaborative Process What is Community-Based Participatory Research (CBPR)? “ [a] collaborative approach to research that equitably involves, for example, community members, organizational representatives, and researchers in all aspects of the research process. The partners contribute unique strengths and shared responsibilities to enhance understanding of a given phenomenon and the social and cultural dynamics of the community, and integrate the knowledge gained with action to improve the health and well-being of community members.” (Israel et al, 1998)
CBPR - Defining the Approach: 9 Core Principles • Community recognized as unit of identity • Builds on strengths and resources • Facilitates collaborative, equitable partnership in all phases • Promotes co-learning and capacity building among all partners • Integrates and achieves balance between research and action for the mutual benefit of all partners • Emphasizes local relevance of public health problems and ecological perspectives that recognize and attend to multiple determinants of health and disease • Involves systems development through a cyclical iterative process • Disseminates findings and knowledge gained to all partners and involves all partners in the dissemination process • Involves a long-term process and commitment Minkler and Wallerstein, 2003
What is community? • Community is an aspect of collective and individual identity • In the context of community-based research, it is a unit of identity, socially constructed, created and re-created through social interactions* • May be defined by: • Geographic boundaries • Shared interests and values • Commitment to meeting shared needs • Example: “Children, adolescents, and their caretakers, including parents and school staff in Harris County” * Minkler and Wallerstein, 2003
Community Development and Coalition Building • Systematically creating and developing empowered communities, and resulting in competent helping systems (HHS, schools, civic organizations). • Coalitions promote collaboration • Networking • Coordination • Cooperation • Collaboration (most comprehensive)
Community Capacity vs. Community Services • Building on strengths and resources within the community, including existing relationships • This means asking questions: • What skills currently exist in community and among its members? • Assets vs. Deficits • Networks and partnerships, that are longstanding (built on trust) • Gatekeepers, Elders, social structures that support collaboration • Existing services? Organizations that already provide a particular resource to community members?
Data Collection Methods for Community Assessment Identification and selection of key community health issues, requires application of a method(s) that maximizes community input and prioritizes the issues. • The method should be: • Community-driven • Strengths- and assets-based • Fosters community involvement
Data Collection Methods for Community Assessment Minkler and Wallerstein offer a variety of approaches to assist in identification of community strengths and assets, as well as the issue(s) they may want to address. • Interviews with formal and informal leaders • Community capacity inventories; asset maps • Community guided discussions (focus groups) • Community walking and windshield tours • Visioning Processes
Group Exercise Apply a data collection method for community assessment. • Participatory Focus Groups
What is Collaborative Leadership? • Leadership opportunities for all involved • Continuous development of new leaders • Shared decision-making among all sectors involved • Shared vision, not necessarily shared mission
The University of Texas Prevention Research Center “From Healthy Children to Healthy Adults” The University of Texas Prevention Research Center (UTPRC) was established in 1986 as one of the founding members of the Centers for Disease Control and Prevention’s (CDC) Prevention Research Center (PRC) Program. Based in The University of Texas Health Science Center at Houston’s (UTHSC-H) School of Public Health, the UTPRC works in conjunction with the Center for Health Promotion and Prevention Research (CHPPR), with its research efforts focused on child and adolescent health initiatives.
The University of Texas Prevention Research Center “From Healthy Children to Healthy Adults” Collaboration with community is key to the success of the program. The Community Advisory Group (CAG) is an established network of community representatives engaged in partnerships with UTPRC researchers to: • Plan and implement programs and activities that enhance local capacity • Define local health priorities • Guide the UTPRC research agenda • Establish participatory approaches to improve adolescent and child health.
UTPRC and Community • Engaging and Sustaining Stakeholders and Partners • Creating opportunities for collaboration • Open communication and information-sharing • Flexibility and willingness to adjust • Infrastructure Development • Collaborative Leadership and Group Structure • Engaging in the Evaluation Process
UTPRC and Community Engaging and Sustaining Stakeholders and Partners • In partnership, the UTPRC and Community Advisory Group have: • Planned and implemented trainings to build capacity • Developed an initiative to foster community-academic partnerships • Collaborate on writing grants and implementing programs that work
UTPRC and Community Infrastructure Development • CAG group structure has evolved overtime. From advisory group to cohesive collaborating group. • Dimensions of CAG leadership is indicative of shared vision.
UTPRC and Community Evaluation Plan • Guided by the Center Logic Model • Assessment of main components of the program • Incorporates community partners’ input • Provides overall framework for ongoing Center activities