Community-Led Initiatives: The Key to Healthy and Resilient Communities

Amobi, Adaugo; Plescia, Marcus; Alexander‐Scott, Nicole

doi:10.1097/phh.0000000000000999

Cited by 7 publications

(8 citation statements)

References 2 publications

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“…S/THOs can use their authority to promote health department participation in local planning and provide guidance on healthy community design principles and benefits. Health agencies can also invest in health equity zone models to identify community-driven solutions for designing the built environment 5…”

Section: Support Healthy Community Designmentioning

confidence: 99%

Supporting Healthy Aging and Older Adult Health: The Role of State and Territorial Health Agencies

Pendergrast

Bethune

Shah

et al. 2023

Journal of Public Health Management and Practice

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S tate and territorial health agencies are well positioned to support healthy aging and health equity by addressing social determinants of health and promoting healthy behaviors across the life course from childhood to older adulthood. As the number of US older adults increases, health agencies also have an opportunity to achieve population health impacts and health care savings by supporting policies, programs, and services that address older adults' health care needs and social determinants of health. Improving health equity in later life requires joint attention to healthy aging by addressing both the early-life health and social factors that affect health across the life course and in older adulthood, and older adult health specifically by promoting equitable access to preventive health, long-term care, social supports, and healthy community environments for all older adults. This article summarizes key public health interventions to address healthy aging and older adult health that health agencies are equipped to champion or support. We bundle these interventions into a "technical package," or a set of recommendations to the field to guide healthy aging and older adult health-focused public health activities. Association of State and Territorial Health Officials (ASTHO) technical packages are based on evidence-based interventions, promising practices, and subject matter expert recommendations. They are not intended to be comprehensive; rather, they serve as tools to prioritize efforts toward what works to address a particular public health problem and establish a proactive approach to technical assistance. The ASTHO technical package to support healthy aging and older adult health comprises 5 categories: paid family and sick leave; healthy

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Section: Support Healthy Community Designmentioning

confidence: 99%

Supporting Healthy Aging and Older Adult Health: The Role of State and Territorial Health Agencies

Pendergrast

Bethune

Shah

et al. 2023

Journal of Public Health Management and Practice

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“…Local wellness initiatives have been found to be most successful and sustainable when community-led (Amobi et al, 2019). Local community champions are essential to the process but often require technical assistance to carry out the functions of their role.…”

Section: Implications For Practicementioning

confidence: 99%

“…For decades, community coalitions have enacted change around public health issues including tobacco control, nutrition, food security, and chronic disease (Butterfoss, 2004; Holston et al, 2020). Effective coalitions are community-led (Amobi et al, 2019) and have leaders, commonly referred to as “community champions,” who are competent, committed, and reflect the community they represent (National Opinion Research Center, 2011). Community champions are essential to FPI as they address multilevel leadership, networked partnerships, managed resources, strategic understanding, operations, and insight into contextual influences.…”

mentioning

confidence: 99%

Perspectives From Extension Staff on Building and Sustaining Community Wellness Coalitions

Moore

McCormack

Meendering

et al. 2023

Health Promotion Practice

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Background Community wellness coalitions are an important part of functioning program infrastructure and have been effective in promoting policy, systems, and environmental (PSE) change, especially when paired with technical support by a community champion or Extension staff. PSE strategies are critical to support long-lasting behavior change but can be challenging to implement. Extension is an established and equipped organization that has potential to help community overcome those challenges. The aim of this article was to identify and describe experiences of Extension staff working as community coaches. Methods A mixed-methods design to assess the impact of Extension staff working with Community Champions included a quantitative Extension Coaching Confidence Scorecard and an Extension Key Informant Interview. Results The total Extension Coaching Confidence score significantly increased from pre- to post-intervention (55.1 ± 35.3 vs. 81.7 ± 37.7, p = .03). Five facilitators and two barriers to wellness coalition development were identified by Extension staff. Discussion The results of this study indicate that the model of community coaching used was effective at addressing the foundational components of the Component Model of Infrastructure (CMI). However, comprehensive training for Extension staff in the CMI and technical assistance are needed in order to build capacity, achieve outcomes, and promote sustainability. Implications for Practice Individuals seeking to transition to PSE work should be provided with a foundation of specific, targeted training in the CMI and evidence-based technical assistance methods. Practitioners should recognize the essential role of community champions in PSE work. Completing the Extension Coaching Confidence Scorecard periodically can inform evolving training needs.

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“…This includes developing and sustaining multisector partnerships, braiding funding, community engagement in data gathering, and problem solving in communities directly impacted by the targeted SDoH. 4 To better understand which SDoH approaches result in positive health outcomes, we need to evaluate what types of local partnerships and roles are most likely to succeed, as well as how these practices can be supported by local, state, and federal policies and resources. This column describes a project to gather more information on successful approaches.…”

mentioning

confidence: 99%

“…However, more attention is needed to connect SDoH work directly to health outcomes, as well as to identify community strategies for attaining these goals. This includes developing and sustaining multisector partnerships, braiding funding, community engagement in data gathering, and problem solving in communities directly impacted by the targeted SDoH 4. To better understand which SDoH approaches result in positive health outcomes, we need to evaluate what types of local partnerships and roles are most likely to succeed, as well as how these practices can be supported by local, state, and federal policies and resources.…”

mentioning

confidence: 99%

Public Health Approaches to Social Determinants of Health: Getting Further Faster

Hacker

Alleyne

Plescia

2021

Journal of Public Health Management and Practice

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I n the wake of the significant health disparities in communities of color highlighted during the COVID-19 pandemic, a national commitment to address long-standing systemic health and social inequities has emerged. Addressing the underlying causes of poor health outcomes and inequity including poverty, education, housing, and access to affordable, quality health care can drive meaningful change. These social determinants of health (SDoH) are critical factors that can limit or enhance our opportunities to lead healthy lives.During the pandemic, the federal government recognized the importance of income protection and wraparound services through the paycheck protection program and by providing funding to states to support housing and food security. Significant resources were also provided to support virtual learning in communities with limited access to computers and broadband. Recent funding has provided additional resources to enhance public health infrastructure and services. The Centers for Disease Control and Prevention (CDC) received funding to support an SDoH pilot program to provide grants to state, local, territorial, and tribal jurisdictions to develop plans to accelerate action to address SDoH. These plans have tremendous potential to help communities narrow disparities through multisector partnerships to

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Community-Led Initiatives: The Key to Healthy and Resilient Communities

Cited by 7 publications

References 2 publications

Supporting Healthy Aging and Older Adult Health: The Role of State and Territorial Health Agencies

Supporting Healthy Aging and Older Adult Health: The Role of State and Territorial Health Agencies

Perspectives From Extension Staff on Building and Sustaining Community Wellness Coalitions

Public Health Approaches to Social Determinants of Health: Getting Further Faster

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