Advancing the Science of Community-Level Interventions

Trickett, Edison J.; Beehler, Sarah; Deutsch, Charles; Green, Lawrence W.; Hawe, Penelope; McLeroy, Kenneth R.; Miller, Robin Lin; Rapkin, Bruce D.; Schensul, Jean J.; Schulz, Amy J.; Trimble, Joseph E.

doi:10.2105/ajph.2010.300113

Cited by 312 publications

(330 citation statements)

References 97 publications

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“…The findings of the current study are in-line with the growing body of evidence demonstrating that health promotion strategies are unlikely to be successful if they are implemented in isolation of other interventions (Tricket et al, 2011). For example, indigenous groups are unlikely to access health-promoting resources if there are financial barriers, and are unlikely to digest health education without appropriate literacy skills.…”

Section: Policy Implicationssupporting

confidence: 79%

Principles and strategies for improving the prevention of cardio-metabolic diseases in indigenous populations: An international Delphi study

Stoner

Matheson

Perry

et al. 2017

Preventive Medicine

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The disparity in life expectancy between Indigenous and non-Indigenous populations is being driven by a heightened incidence of cardio-metabolic diseases, and is at least partly underpinned by educational, economic and historical determinants. However, there is a lack of consensus with regards to priorities for tackling these determinants. Therefore, the current study recruited experts in Indigenous cardio-metabolic health from Australia, New Zealand and the United States, in order to establish local consensus opinion and initiate dialogue. A three-round Delphi process was used to consolidate and compare the opinions of 60 experts, 20 from each country. Round one, the experts were asked three open-ended questions: (i) historical, (ii) economic and (iii) socio-cultural factors contributors to cardio-metabolic disease risk. Round two, the experts completed a structured questionnaire based on results from the first round, in which they ranked items according to their importance. Final round, the experts were asked to re-rank the same items after receiving summary feedback about the rank ordering from the previous round. Several key findings were identified: (i) an important historical factor is marginalization and disempowerment; (ii) in terms of economic and sociocultural factors, the panellists came to the consensus that socio-economic status and educational inequalities are important; (iii) while consensus was not reached, economic and educational factors also perceived to be historically influential. These findings support the need for multi-level health promotion policy. For example, tackling financial barriers that limit access to health-promoting resources, and improving literacy skills to permit understanding of health education.

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Section: Policy Implicationssupporting

confidence: 79%

Principles and strategies for improving the prevention of cardio-metabolic diseases in indigenous populations: An international Delphi study

Stoner

Matheson

Perry

et al. 2017

Preventive Medicine

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“…The consideration of culture in translational science from a community-engaged perspective indicates the need for consideration of culture from a multi-systemic perspective that not only considers the cultural factors that surround the individual but also the cultural factors that define the broader community and policy system levels that encompass an individual's culture [15]. Therefore, culture can shape the process of community engagement, and in turn, effective engagement would require an understanding of culture [15].…”

Section: Community Engagementmentioning

confidence: 99%

“…Therefore, culture can shape the process of community engagement, and in turn, effective engagement would require an understanding of culture [15].…”

Section: Community Engagementmentioning

confidence: 99%

What is the role of culture, diversity, and community engagement in transdisciplinary translational science?

Graham

Kim

Clinton-Sherrod

et al. 2015

Behav. Med. Pract. Policy Res.

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Concepts of culture and diversity are necessary considerations in the scientific application of theory generation and developmental processes of preventive interventions; yet, culture and/or diversity are often overlooked until later stages (e.g., adaptation [T3] and dissemination [T4]) of the translational science process.Here, we present a conceptual framework focused on the seamless incorporation of culture and diversity throughout the various stages of the translational science process (T1-T5). Informed by a community-engaged research approach, this framework guides integration of cultural and diversity considerations at each phase with emphasis on the importance and value of Bcitizen scientists^being research partners to promote ecological validity. The integrated partnership covers the first phase of intervention development through final phases that ultimately facilitate more global, universal translation of changes in attitudes, norms, and systems. Our comprehensive model for incorporating culture and diversity into translational research provides a basis for further discussion and translational science development.

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“…To do this schools had to deliver a minimum level of the program (see CORE above) and were evaluated by multiple standardized school and student level outcomes. In doing so we maintained site-by-site standardization of key intervention components and assessments while allowing for local adaptation and ecological validity [52,53]. Further, the high school was seen as a venue to reach a large portion of the youth population, with a fixed infrastructure and staff to implement and test the model and share information [50].…”

Section: Study Design and Recruitmentmentioning

confidence: 99%

Health Promoting Secondary Schools: Community-Based Research Examining Voice, Choice and the School Setting

Higgins¹

2013

J Child Adolesc Behav

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Background: Health Promoting Secondary Schools (HPSS) was a 'whole school' program across five intervention and five control high schools in British Columbia, Canada designed to improve the Moderate to Vigorous Physical Activity (MVPA) and healthy eating behaviors of grade 10 students. HPSS was implemented over one school year (2011)(2012) and included classroom activities, changes to school policies, input from teachers and students, student leadership opportunities, and was tailored for each school. Teachers were provided with choicebased Physical Education (PE) and health curricula, as well as monetary grants to purchase equipment and supplies. This manuscript presents an overview of the development and evaluation of HPSS.Methods: This initiative employed mixed methods for data collection and analyses, including standardized questionnaires, focus groups, accelerometers, and fitness testing over three phases of data collection (T1, T2, T3); five key survey variables are discussed here to provide initial results on the effect of the HPSS model. The SHAPES Questionnaire and 20-meter shuttle run were used to assess these outcome measures.Results: A repeated measures ANOVA showed a decline in total MVPA (F = 89.29, p < 0.01, d=1.01) and weekday MVPA (F=136.33, p<0.01, d=0.25) across groups pre to post-test; an interaction effect for fitness (F=5.66, p<0.05, d=0.25); a significant decline in Sugar Sweetened Beverages (SSB) over time for both conditions (F=10.85, p < 0.01, d=0.35) ; a non-significant trend towards decreased screen time for the intervention group; and a significant interaction for fitness (F = 5.66, p < 0.05, d=0.29).Time 1 to Time 3 was significant for fruit and vegetable intake (F=5.94, p<0.05) and approached a significant interaction in favor of the control group (F=2.95, p=0.06, d=0.59), and an interaction for weekday PA (F=3.38, p<0.05, d=0.70). Conclusions:Although many of the variables in this initial analysis did not yield a statistically significant treatment effect, looking to effect sizes, trends, qualitative data and contextual factors may be helpful at this time in order to refine the program and adhere to the goal of creating an initiative that can be improved and modified to be utilized in other. It is also promising to see that the intervention group fared better in terms of fitness and weekday MVPA decline than the control group despite the obstacles faced during the intervention year.

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Advancing the Science of Community-Level Interventions

Cited by 312 publications

References 97 publications

Principles and strategies for improving the prevention of cardio-metabolic diseases in indigenous populations: An international Delphi study

Principles and strategies for improving the prevention of cardio-metabolic diseases in indigenous populations: An international Delphi study

What is the role of culture, diversity, and community engagement in transdisciplinary translational science?

Health Promoting Secondary Schools: Community-Based Research Examining Voice, Choice and the School Setting

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