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Impact of Contextual Factors on the Integration of Chronic Disease Program Interventions: Lessons Learned
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| Presenter(s):
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| Shelly-Ann Bowen, University of South Carolina, bowensk2@mailbox.sc.edu
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| Stoisor-Olsson Lili, University of South Carolina, stoisol@dhec.sc.gov
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| Abstract:
A Health Region in SC was funded to implement proven effective health risk reduction programs on underserved populations with chronic diseases. Following are the lessons learned about effects of contextual factors on evaluation of the program.
With program evaluation not being the objective of the program and the funder requiring evaluation reports, evaluation discussions were initiated, using program theory. These discussions encouraged program planners to write up detailed description of the program; form collaborative interdisciplinary teams; create logic models and timelines; and develop protocols for data collection. Thus, systematic evaluation feedback proved to be an effective method for program improvement and build accountability for their public health actions.
However, at mid-point of the 2-year program, due to external factors, funding was retracted. Consequently, the evaluation team had little or no data to report short-term outcomes. Thus, in articulating program theory, it is imperative to consider contextual factors underlying program implementation.
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Ladder to Leadership: Developing the Next Generation of Community Health Leaders
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| Presenter(s):
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| Kimberly Fredericks, The Sage Colleges, fredek1@sage.edu
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| Heather Champion, Center for Creative Leadership, championh@ccl.org
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| Julia Jackson Newsom, University of North Carolina at Greensboro, j_jackso@uncg.edu
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| Tracy Enright Patterson, Center for Creative Leadership, pattersont@ccl.org
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| Joanne Carman, University of North Carolina at Charlotte, jgcarman@uncc.edu
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| Abstract:
Ladder to Leadership is a national initiative of the Robert Wood Johnson Foundation, in collaboration with the Center for Creative Leadership. The initiative aims to enhance the leadership capacity of emerging leaders in community-based nonprofit health organizations serving vulnerable populations. For this initiative, nine cohorts from nine communities across the US will participate in a 16-month community-based leadership development program. Social network analysis was used to assess collaboration among program participants prior to the program, at the end of the program, and a year post-program. These data can be used to compare sites and for longitudinal data analysis within sites. Initial findings from baseline data suggest that collaboration occurs most frequently among like service providers and those that are in the same geographic area within multi-county sites. These findings suggest that avenues must be created to form relationships beyond boundaries in order to create efficient networks for health and healthcare.
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Evaluating Health Interventions in Communities: Lessons Learned From the Frequent Users of Health Services Initiative
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| Presenter(s):
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| Karen W Linkins, The Lewin Group, karen.linkins@lewin.com
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| Jennifer Brya, JB Management Solutions, jbrya@jb-llc.com
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| Abstract:
Evaluations of community-based health programs, especially those involving multiple provider systems, provide rich opportunities for learning about effective strategies to enhance and improve care access and quality. However, these evaluations encounter many challenges, including barriers to cross-system data sharing, quality and consistency of secondary data, and the lack of standardization across systems. The following paper highlights the experiences and learnings from the evaluation of the Frequent Users of Health Services Initiative (FUHSI), an initiative implemented in six counties in California. FUHSI aimed to promote the development and implementation of innovative, integrated approaches to addressing the comprehensive health and social service needs of frequent users of emergency departments. The overall goal of the Initiative was to create a more responsive system of care for frequent users of health services that improve patient outcomes and promotes systems change at the organizational and county levels.
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Evaluating the Effects of Information Diffusion Through Key Influencers: Evaluation of The National Institute of Allergy and Infectious Diseases (NIAID) HIV Vaccine Research Education Initiative (NHVREI)
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| Presenter(s):
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| Caroline McLeod, NOVA Research Company, cmcleod@novaresearch.com
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| S Lisbeth Jarama, NOVA Research Company, ljarama@novaresearch.com
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| Dan Eckstein, NOVA Research Company, deckstein@novaresearch.com
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| Allison Zambon, NOVA Research Company, azambon@novaresearch.com
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| Abstract:
The National Institute of Allergy and Infectious Diseases (NIAID) HIV Vaccine Research Education Initiative (NHVREI) is working to build support for HIV vaccine research among U.S. populations most affected by HIV/AIDS (i.e., African Americans, Hispanic/Latinos, and men who have sex with men). NHVREI disseminates information regarding HIV vaccine research through partnerships with community organizations ; supportive messages are disseminated through outreach activities and the social networks of program staff, who are also key influencers within their communities. We developed a key influencer survey to evaluate the degree to which knowledge of, positive attitudes toward, and behaviors supportive of HIV vaccine research are diffused through staff of NHVREI-funded organizations to other key influencers in the highly impacted populations. Survey items assess precursors (i.e., knowledge, cognitions) to the key influencer behaviors supportive of HIV vaccine research (i.e., speaking in support of HIV vaccine research). We will discuss methods and cognitive interview findings.
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