Community Member and Stakeholder Perspectives on a Healthy Environment Initiative in North Carolina

Carter-Edwards, Lori; Abby, Lowe-Wilson,; Mouw, Mary Sherwyn; Jeon, Janet Yewon; Baber, Ceola Ross; Vu, Maihan B.; Monique, Bethell,

doi:10.5888/pcd12.140595

Cited by 7 publications

(8 citation statements)

References 7 publications

(5 reference statements)

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“…In this study, we drew on the principles and practice of Photovoice. However, because of constraints on time and funding, we did not implement the Photovoice components of collaboratively assigning topics with participants, involving participants in the analysis and/or write-up of the results, nor did we facilitate an action component like some (Carter-Edwards et al, 2015) in which study participants work to address jointly identified issues. Instead, based on previous experiences using in-depth interviews with adolescents in Malawi (Rock et al, 2016), we chose a photo-elicitation approach to involve adolescents in this context in a more engaging way as we describe below.…”

Section: Introductionmentioning

confidence: 99%

The role of productive activities in the lives of adolescents: Photovoice evidence from Malawi

Zietz

Hoop²,

Handa

2018

Children and Youth Services Review

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Adolescence is an important transitional period, separate from both childhood and adulthood. Critical physical and mental development occurs during adolescence, including emotional skills, physical, and mental abilities. Behaviors adopted during this lifecourse period have critical implications for adolescents’ future health and well-being. The main research question of the present study is: what is the role of productive activities in the lives and development of adolescents in rural Malawi? As part of this study, selected adolescents from poor rural households were asked to take photographs of their daily (productive) activities. These photographs served as a starting point for focus group discussions. In addition to including adolescents, we conducted qualitative interviews with caregivers and teachers to triangulate and obtain a more holistic understanding of adolescent engagement in productive activities. The main themes that emerged were that 1) the work that is conducted by adolescent boys and girls inside and outside the household is not only perceived by adolescents as a product of poverty, but as a point of pride, as well as a potential means of providing for one’s future, 2) there is a tension between the needs of the family and schooling, and 3) adolescent productive activities are associated with minor although not negligible hazards and injuries. We discuss that these qualitative findings help to better understand how social protection interventions, such as Malawi’s Social Cash Transfer Program, may affect adolescent engagement in work and adolescent wellbeing more generally.

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Section: Introductionmentioning

confidence: 99%

The role of productive activities in the lives of adolescents: Photovoice evidence from Malawi

Zietz

Hoop²,

Handa

2018

Children and Youth Services Review

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“…Third, all 7 PRC’s produced manuscripts for peer-reviewed journals to disseminate findings and lessons learned. Six have been published or are forthcoming ( 19 – 24 ), and one manuscript was under review at the time of this writing. Finally, 6 PRCs presented evaluation findings at regional or national conferences attended by researchers and practitioners.…”

Section: Resultsmentioning

confidence: 99%

“…The final step of ensuring use and sharing lessons learned is critically needed in this area ( 8 – 10 ). Six PRCs published their evaluation findings, contributing to the evidence base on how to translate PSE strategies into changes in practice ( 19 – 24 ). Using the CDC framework to guide evaluations of PSE-change initiatives helps evaluators build practice-based evidence for the growing number of PSE-change strategies being used to promote health.…”

Section: Discussionmentioning

confidence: 99%

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Evaluating Policy, Systems, and Environmental Change Interventions: Lessons Learned From CDC’s Prevention Research Centers

Honeycutt¹,

Leeman²,

McCarthy³

et al. 2015

Prev. Chronic Dis.

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IntroductionThe field of public health is increasingly implementing initiatives intended to make policies, systems, and environments (PSEs) more supportive of healthy behaviors, even though the evidence for many of these strategies is only emerging. Our objective was 3-fold: 1) to describe evaluations of PSE-change programs in which the evaluators followed the steps of the Centers for Disease Control and Prevention’s (CDC’s) Framework for Program Evaluation in Public Health, 2) to share the resulting lessons learned, and 3) to assist future evaluators of PSE-change programs with their evaluation design decisions.MethodsSeven Prevention Research Centers (PRCs) applied CDC’s framework to evaluate their own PSE-change initiatives. The PRCs followed each step of the framework: 1) engage stakeholders, 2) describe program, 3) focus evaluation design, 4) gather credible evidence, 5) justify conclusions, and 6) ensure use and share lessons learned.ResultsEvaluation stakeholders represented a range of sectors, including public health departments, partner organizations, and community members. Public health departments were the primary stakeholders for 4 of the 7 evaluations. Four PRCs used logic models to describe the initiatives being evaluated. Their evaluations typically included both process and outcome questions and used mixed methods. Evaluation findings most commonly focused on contextual factors influencing change (process) and the adoption or implementation of PSE-change strategies (outcome). Evaluators shared lessons learned through various channels to reach local stakeholders and broader public health audiences.Conclusion Framework for Program Evaluation in Public Health is applicable to evaluations of PSE-change initiatives. Using this framework to guide such evaluations builds practice-based evidence for strategies that are increasingly being used to promote healthful behaviors.

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“…For example, purposive sampling has been successfully employed to recruit physicians and leaders within a community [42]; however, at the population level, it is highly unlikely that a purposive sampling framework would be available and, if not, it would require significant effort to build. Because our research team lacked a database for purposive sampling and recruitment was flagging, the CAB in community 2 recommended that we transition to a convenience sampling method, as in other community engagement studies [43]. Convenience sampling was accomplished by hiring a part-time small business owner who interacted with a diverse cross-section of community members on a daily basis.…”

Section: Discussionmentioning

confidence: 99%

Comparing two sampling methods to engage hard-to-reach communities in research priority setting

Valerio

Rodríguez

Winkler

et al. 2016

BMC Med Res Methodol

272

196

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BackgroundEffective community-partnered and patient-centered outcomes research needs to address community priorities. However, optimal sampling methods to engage stakeholders from hard-to-reach, vulnerable communities to generate research priorities have not been identified.MethodsIn two similar rural, largely Hispanic communities, a community advisory board guided recruitment of stakeholders affected by chronic pain using a different method in each community: 1) snowball sampling, a chain- referral method or 2) purposive sampling to recruit diverse stakeholders. In both communities, three groups of stakeholders attended a series of three facilitated meetings to orient, brainstorm, and prioritize ideas (9 meetings/community). Using mixed methods analysis, we compared stakeholder recruitment and retention as well as priorities from both communities’ stakeholders on mean ratings of their ideas based on importance and feasibility for implementation in their community.ResultsOf 65 eligible stakeholders in one community recruited by snowball sampling, 55 (85 %) consented, 52 (95 %) attended the first meeting, and 36 (65 %) attended all 3 meetings. In the second community, the purposive sampling method was supplemented by convenience sampling to increase recruitment. Of 69 stakeholders recruited by this combined strategy, 62 (90 %) consented, 36 (58 %) attended the first meeting, and 26 (42 %) attended all 3 meetings. Snowball sampling recruited more Hispanics and disabled persons (all P < 0.05). Despite differing recruitment strategies, stakeholders from the two communities identified largely similar ideas for research, focusing on non-pharmacologic interventions for management of chronic pain. Ratings on importance and feasibility for community implementation differed only on the importance of massage services (P = 0.045) which was higher for the purposive/convenience sampling group and for city improvements/transportation services (P = 0.004) which was higher for the snowball sampling group.ConclusionsIn each of the two similar hard-to-reach communities, a community advisory board partnered with researchers to implement a different sampling method to recruit stakeholders. The snowball sampling method achieved greater participation with more Hispanics but also more individuals with disabilities than a purposive-convenience sampling method. However, priorities for research on chronic pain from both stakeholder groups were similar. Although utilizing a snowball sampling method appears to be superior, further research is needed on implementation costs and resources.Electronic supplementary materialThe online version of this article (doi:10.1186/s12874-016-0242-z) contains supplementary material, which is available to authorized users.

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Community Member and Stakeholder Perspectives on a Healthy Environment Initiative in North Carolina

Cited by 7 publications

References 7 publications

The role of productive activities in the lives of adolescents: Photovoice evidence from Malawi

The role of productive activities in the lives of adolescents: Photovoice evidence from Malawi

Evaluating Policy, Systems, and Environmental Change Interventions: Lessons Learned From CDC’s Prevention Research Centers

Comparing two sampling methods to engage hard-to-reach communities in research priority setting

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