sah year 2: change reassessment shannon griffin-blake, ph.d. team lead, program services and...
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SAH Year 2: CHANGE
ReassessmentShannon Griffin-Blake, Ph.D.
Team Lead, Program Services and EvaluationCDC’s Healthy Communities Program
National Center for Chronic Disease Prevention and Health Promotion
Strategic Alliance for Health Action Institute
April 29, 2010
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Community Health Assessment aNd Group Evaluation (CHANGE)
Background How can CHANGE be a useful SAH tool? How can local level data assist you in your efforts? Why are we using the CHANGE tool? How best to complete CHANGE Reassessment? How can CHANGE data help revise SAH CAP?
CHANGE Action GuideBackground & introductionStep-by-step process
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Achieving Multi-level Impact
Socio-Ecological Model Institute of Medicine
, 2003
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LargestImpact
SmallestImpact
Factors that Affect Health
ExamplesEat healthy, be physically active
Rx for high blood pressure, high cholesterol, diabetes
Brief intervention for cessation treatment
Socioeconomic Factors
Changing the Contextto make individuals’ default decisions healthy
Long-lasting Protective Interventions
ClinicalInterventions
Counseling & Education
Poverty, education, housing, inequality
0g trans fat, salt, smoke-free laws, tobacco tax
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CHANGE: Local-Level Data
• Provide direct input to decision-makers about community needs
• Establish baseline or starting point• Use annually for multiple observations to
monitor and track progress across SAH project period
• Inform prioritization for Community Action Plan (CAP) development
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Using CHANGE on Annual Basis
Action
Plan
Implement
Evaluate
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CHANGE Completion over SAH
Project Period
Yr. 1 Yr. 3 Yr. 5
Baseline2009
Reassessment 32012
Reassessment 42013
Yr. 4Yr. 2
Reassessment 12010
Reassessment 22011
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CHANGE: Overview• Frame and understand the
current status of community health
• Provides a snapshot of policy, systems and environmental change strategies (‘assets’ and ‘needs’)
• Move the community towards sustainable change
• Allows communities to track progress across a 5-point scale so incremental changes can be noted
• Prioritize community needs and consider appropriate allocation of resources
• Used annually to assess current strategies, chart progress and offer new priorities
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CHANGE Action Guide
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CHANGE Action Guide
CHANGE Action Guide proposes 8 step process
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Step 1: Assemble Community TeamConsortium with broad participation from community leaders:
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Step 2: Develop Team Strategy
Deciding on how best to complete CHANGE sectors or sites:
1. Whole team
2. Splinter into smaller groups
(2 or more members)
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Step 3: Review 5 CHANGE Sectors5 Sectors: 1. Community: Includes community-wide efforts that impact the
social and built environments; such as food access, walkability or bikeability, smoking bans, and personal safety.
2. Community-Based Institution (CBI): Includes entities within the community that provide a broad range of human services and access to facilities, such as childcare settings, faith-based organizations, senior centers, YMCAs, health and wellness organizations, boys and girls clubs, and colleges/universities.
3. Health Care: Includes places people go to receive preventive care or treatment, or emergency health care services; such as hospitals, private doctors’ offices, or community clinics.
4. School: Includes all primary and secondary learning institutions (e.g., elementary, middle and high schools, whether private, public, or parochial).
5. Work Site: Includes places of employment; such as private offices, restaurants, retail establishments, or government offices.
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Step 3: Review 5 CHANGE Sectors
Sectors: • Minimum of 5 sites per sector • Question: Have I lost any sites?
Modules: • Consider scope of questions• Question: What is needed to gain insight into these questions?
Data Collection Methods:• Stay with same methods used in Year 1, but can supplement• 2 or more methods per site
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Step 4: Gather Data
Determine what information you need to collect to better understand your community…and complete CHANGE.
Example Methods:• Survey data• Community dialogue• Photovoice• Community audit and observation
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Step 5: Review Gathered Data
• Review all data for each site• Maintain consortium decision-making process• Determine each item response• Be consistent on using CHANGE scale• Document, Document, Document - Using
comment boxes
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Step 6: Data Entry
• CHANGE Sector Excel files• Quantitative Response: Item
Response Selection (Scale)• Qualitative Response: Comment
Boxes for Item Documentation• New CHANGE Summary Statement
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SAH Timeline• CHANGE Reassessment:
May - July 2010
• Revise CAP:
August – September 2010
• Submit Results in Annual Report:
December 2010
• MIS upload capacity for CHANGE Summary Statements: June 2010
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Questions?