Successful community engagement: Laying the foundation for effective teen pregnancy prevention

Goldberg, Barbara; Frank, Victoria L.; Bekenstein, Susan; Garrity, Patricia; Ruíz, Jesús Ángel Prieto

doi:10.1080/10796126.2011.539198

Cited by 11 publications

(17 citation statements)

References 11 publications

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“…Level of CE achieved was moderate in 15 studies (63%), out of which eight studies used CBPR ( 3 , 24 , 60 – 62 , 67 , 70 , 71 ), two studies used the CHW model ( 59 , 63 ), and the remaining five studies used one of the following models: the FOCUS model ( 72 ), ANGELO model ( 73 ), the community empowerment model ( 66 ), the participatory action cycle ( 65 ), and CPPR ( 4 ). The level of CE achieved was good in six studies (25%), four of which used CBPR ( 18 , 68 , 69 , 74 ), one used CPPR ( 75 ), and one used the CDC model ( 64 ).Three studies (12%) that used the community action cycle ( 76 ), youth development model ( 77 ), and Well London model ( 78 ) showed poor levels of CE, where the community was only informed or consulted.…”

Section: Resultsmentioning

confidence: 99%

“…The extent of involvement of engagees in the research project was good in 17 studies (71%), out of which 12 were CBPR studies ( 3 , 18 , 24 , 60 – 62 , 67 – 71 , 74 ), two were CPPR studies ( 4 , 75 ), and three studies used the community empowerment model ( 66 ), the CDC model ( 64 ), and the CHW model ( 59 ). Four studies (17%) that used the FOCUS model ( 72 ), participatory action cycle ( 65 ), the ANGELO model ( 73 ), and the community action cycle ( 76 ) showed moderate community involvement, while three studies (12%) that used the CHW model ( 63 ), the Well London model ( 78 ), and the youth development model ( 77 ) showed poor community involvement.…”

Section: Resultsmentioning

confidence: 99%

“…Twelve studies (50%) evaluated the CE-informed intervention, out of which eight studies conducted process evaluations ( 3 , 18 , 62 , 68 , 70 – 72 , 78 ); three studies conducted formative, process, and outcome evaluations ( 59 , 66 , 67 ); and one study conducted an outcome evaluation only ( 74 ). Areas of CE commonalities in terms of effectiveness include conducting the research within the context of health issues of high perceived severity ( 3 , 4 , 18 , 59 , 60 , 62 , 65 , 66 , 69 , 71 , 76 ) and conducting needs assessments to identify barriers specific to each community ( 3 , 4 , 18 , 59 , 60 , 62 , 65 , 66 , 69 , 71 , 76 ) ( Supplementary Table 2 ).…”

Section: Resultsmentioning

confidence: 99%

“…Three studies reported increased awareness and improved knowledge of health issues among participants ( 60 , 64 , 72 ), and two studies also demonstrated improved participation in health screening programmes ( 18 , 67 ). The FOCUS model resulted in increased awareness of teen pregnancy through community dialogue and revitalisation at a community kick-off breakfast, development of tailored posters on teen pregnancy prevention, and prioritisation of youth needs ( 72 ). Harvey et al ( 67 ) showed that CBPR-facilitated formative research contributed to the training of CHWs, which improved hypertension screening among ethnic women with low health service utilisation.…”

Section: Resultsmentioning

confidence: 99%

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Exploring the role of community engagement in improving the health of disadvantaged populations: a systematic review

Cyril

Smith

Possamai‐Inesedy

et al. 2015

Global Health Action

297

286

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BackgroundAlthough community engagement (CE) is widely used in health promotion, components of CE models associated with improved health are poorly understood. This study aimed to examine the magnitude of the impact of CE on health and health inequalities among disadvantaged populations, which methodological approaches maximise the effectiveness of CE, and components of CE that are acceptable, feasible, and effective when used among disadvantaged populations.DesignThe systematic review followed the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines. We carried out methodological assessments of the included studies using rating scales. The analysis focussed on model synthesis to identify the key CE components linked to positive study outcomes and comparative analysis between positive study outcomes, processes, and quality indicators of CE.ResultsOut of 24 studies that met our inclusion criteria, 21 (87.5%) had positively impacted health behaviours, public health planning, health service access, health literacy, and a range of health outcomes. More than half of the studies (58%) were of good quality, whereas 71% and 42% of studies showed good community involvement in research and achieved high levels of CE, respectively. Key CE components that affected health outcomes included real power-sharing, collaborative partnerships, bidirectional learning, incorporating the voice and agency of beneficiary communities in research protocol, and using bicultural health workers for intervention delivery.ConclusionsThe findings suggest that CE models can lead to improved health and health behaviours among disadvantaged populations if designed properly and implemented through effective community consultation and participation. We also found several gaps in the current measurement of CE in health intervention studies, which suggests the importance of developing innovative approaches to measure CE impact on health outcomes in a more rigorous way.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

See 2 more Smart Citations

Exploring the role of community engagement in improving the health of disadvantaged populations: a systematic review

Cyril

Smith

Possamai‐Inesedy

et al. 2015

Global Health Action

297

286

View full text Add to dashboard Cite

show abstract

“…The efforts of the community TPP coalition and Prevent Child Abuse created a community environment that was primed because of their previous work in addressing TPP, their existing coordination, and the synergy that was created between their efforts and the school district CHE-AC committees. This work builds on previous research that has documented the crucial role of community organizations and partnerships in TPP work, as well as approaches to building and maintain community engagement (Fisher et al, 2012;Goldberg, Frank, Bekenstein, Garrity, & Ruiz, 2011).…”

Section: Discussionmentioning

confidence: 97%

Adoption of an Evidence-Based Teen Pregnancy Prevention Curriculum: A Case Study in a South Carolina School District

Workman

Flynn²,

Kenison

et al. 2015

American Journal of Sexuality Education

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Continued efforts are needed to reduce teenage pregnancy in the United States. Implementation of evidence-based curricula in schools is one strategy toward meeting this goal. In 2010, the South Carolina Campaign to Prevent Teen Pregnancy (SC Campaign) received funding to implement a teen pregnancy prevention (TPP) curriculum. Congruent with South Carolina law, the curriculum had to be approved by a school district advisory committee. A case study was conducted to explore factors that led to adoption of the curriculum in one school district. In-depth interviews (n = 17) were conducted with school district staff, advisory committee members, community stakeholders, and SC Campaign staff. An inductive analysis identified several key themes that promoted curriculum adoption: developing networks among TPP advocates, partnerships with local media, establishing a school district commitment to address TPP, assembling a diverse advisory committee, a comprehen-

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The Use of Ripple Effect Mapping to Understand Successes of the SC Pregnancy Assistance Fund: A Participatory Evaluation Approach

Workman

Browder

2020

Matern Child Health J

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Objectives The South Carolina Pregnancy Assistance Fund (SCPAF) funded four counties to increase the amount, quality, and awareness of services for young parents; increase educational attainment among expectant and parenting youth; reduce the number of repeat teen pregnancies among youth; and improve parenting skills. The purpose of this paper is twofold: (1) to describe our application of the Ripple Effect Mapping (REM) technique as an innovative evaluation strategy to gather perspectives from SCPAF stakeholders and (2) to share key findings generated by participants in REM sessions on the perceived success of local SCPAF community collaboratives. Methods REM, an innovative evaluation strategy, was used to gather perspectives from SCPAF stakeholders. Five REM sessions were conducted with 52 participants. REM sessions included partner interviews and collective development of visual maps to illustrate stakeholder perspectives of program successes. Visual maps, as well as transcripts of discussions, were analyzed using an inductive approach. Results Stakeholders reported that the connections to resources, supports, and services provided through SCPAF had the potential to alter the life trajectories of expectant and parenting teens (EPT). Stakeholders also described that SCPAF fostered growth in collaboration among partners and reduced duplication of services in funded communities Conclusions for Practice This paper describes how an innovative evaluation strategy was used to provide a space for stakeholders to dialogue, synthesize their experiences, and construct a collective narrative of key program successes. This paper also illustrates how such approaches can be applied to complex community initiatives.

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Successful community engagement: Laying the foundation for effective teen pregnancy prevention

Cited by 11 publications

References 11 publications

Exploring the role of community engagement in improving the health of disadvantaged populations: a systematic review

Exploring the role of community engagement in improving the health of disadvantaged populations: a systematic review

Adoption of an Evidence-Based Teen Pregnancy Prevention Curriculum: A Case Study in a South Carolina School District

The Use of Ripple Effect Mapping to Understand Successes of the SC Pregnancy Assistance Fund: A Participatory Evaluation Approach

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