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Community-Based Health Interventions

Author: Sally Guttmacher

Publisher: John Wiley & Sons

Published: 2010-03-01

Total Pages: 240

ISBN-13: 078798311X

Community-Based Health Interventions covers the skills necessary to change health in a community setting through the reduction of disease, disease conditions, and risks to health, as well as create a supportive environment for the maintenance of the behavior changes. The first section provides background information about why interventions in communities are important, the history of several major community interventions, ethical issues in the design and implementation of interventions and the different types of interventions. The second section covers planning and activities needed to complete an intervention, along with the theoretical basis of interventions. The third section shows how to assess the needs and strengths of a particular community, gain community support, define the goals of an intervention and get started. This section also contains information on obtaining material and financial support and on strategies for continuing the intervention beyond its initial phase. The final section examines current work and problems encountered as well as projecting future trends. Each chapter includes practice exercises or activities useful to students learning to develop interventions at the population or community level, such as public health, social work and nursing.

Community-Based Health Interventions in an Institutional Context

Author: Steven L. Arxer

Publisher: Springer Nature

Published: 2019-09-13

Total Pages: 190

ISBN-13: 303024654X

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Community-Based Health Interventions in an Institutional Context examines challenges of "institutionalizing" community-based health care. While the community-based or localized model is growing in popularity and importance in the United States, in practice it must often be brought in to larger institutions in order to grow to scale. The typical goals of an institution—standardization, formalization, and control—may be seen as antithetical to those of a community-based healthcare provider, such as spontaneity, customization, and flexibility. The contributions to this work raise questions about how the community-based model can be scaled up through institutions, and how "institutionalization" can be rethought from a bottom-up approach. They provide not only an overview of community-based organizations, but also delve into practical topics such as establishing budgets, training workers, incorporating technology, as well as more theoretical topics like goal-setting, policy effects (like the ACA), and relationships between patient and community. This work will be of interest for researchers interested in exploring the community-based health care model, as well as practitioners in health care and health policy.

Community-Based Interventions

Author: John W. Murphy

Publisher: Springer Science & Business Media

Published: 2014-01-02

Total Pages: 171

ISBN-13: 1489980202

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For decades, community-centered social services have been promoted as an admirable ideal. Yet the concept of decentralized services delivered where people live has proved to be an elusive ideal as well, with the promise of empowerment often giving way to disinterest and apathy. Community-Based Interventions examines the reasons community programs tend to founder and proposes a realistic framework for sustained success. The book's theoretical, philosophical and political foundations begin with the importance of context, as in local knowledge and community self-definition and engagement. Innovative, often startling, approaches to planning, design and implementation begin with the recognition that communities are not "targets" or "locations" to be "fixed," but social realities whose issues require concrete answers. The variety of examples described in these chapters demonstrate the power of community interventions in providing effective services, reducing inequities and giving individuals greater control over their health, their environment and in the long run, their lives. Included in the coverage: Redefining community: the social dimensions. A new epidemiology to inform community work. The role of research in designing community interventions. The conceptual flow of a community-based project. Building autonomy through leadership from below. Relating social interventions to social justice. Attuned to the current era of health and mental health reform, Community-Based Interventions represents a major step forward in its field and makes an inspiring text for social workers, clinical social workers, public health administrators and community activists.

An Integrated Framework for Assessing the Value of Community-Based Prevention

Author: Institute of Medicine

Publisher: National Academies Press

Published: 2012-11-29

Total Pages: 181

ISBN-13: 0309263573

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During the past century the major causes of morbidity and mortality in the United States have shifted from those related to communicable diseases to those due to chronic diseases. Just as the major causes of morbidity and mortality have changed, so too has the understanding of health and what makes people healthy or ill. Research has documented the importance of the social determinants of health (for example, socioeconomic status and education) that affect health directly as well as through their impact on other health determinants such as risk factors. Targeting interventions toward the conditions associated with today's challenges to living a healthy life requires an increased emphasis on the factors that affect the current cause of morbidity and mortality, factors such as the social determinants of health. Many community-based prevention interventions target such conditions. Community-based prevention interventions offer three distinct strengths. First, because the intervention is implemented population-wide it is inclusive and not dependent on access to a health care system. Second, by directing strategies at an entire population an intervention can reach individuals at all levels of risk. And finally, some lifestyle and behavioral risk factors are shaped by conditions not under an individual's control. For example, encouraging an individual to eat healthy food when none is accessible undermines the potential for successful behavioral change. Community-based prevention interventions can be designed to affect environmental and social conditions that are out of the reach of clinical services. Four foundations - the California Endowment, the de Beaumont Foundation, the W.K. Kellogg Foundation, and the Robert Wood Johnson Foundation - asked the Institute of Medicine to convene an expert committee to develop a framework for assessing the value of community-based, non-clinical prevention policies and wellness strategies, especially those targeting the prevention of long-term, chronic diseases. The charge to the committee was to define community-based, non-clinical prevention policy and wellness strategies; define the value for community-based, non-clinical prevention policies and wellness strategies; and analyze current frameworks used to assess the value of community-based, non-clinical prevention policies and wellness strategies, including the methodologies and measures used and the short- and long-term impacts of such prevention policy and wellness strategies on health care spending and public health. An Integrated Framework for Assessing the Value of Community-Based Prevention summarizes the committee's findings.

Field Trials of Health Interventions

Author: Peter G. Smith

Publisher:

Published: 2015

Total Pages: 479

ISBN-13: 0198732864

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This is an open access title available under the terms of a CC BY-NC 4.0 International licence. It is free to read at Oxford Scholarship Online and offered as a free PDF download from OUP and selected open access locations. Before new interventions are released into disease control programmes, it is essential that they are carefully evaluated in field trials'. These may be complex and expensive undertakings, requiring the follow-up of hundreds, or thousands, of individuals, often for long periods. Descriptions of the detailed procedures and methods used in the trials that have been conducted have rarely been published. A consequence of this, individuals planning such trials have few guidelines available and little access to knowledge accumulated previously, other than their own. In this manual, practical issues in trial design and conduct are discussed fully and in sufficient detail, that Field Trials of Health Interventions may be used as a toolbox' by field investigators. It has been compiled by an international group of over 30 authors with direct experience in the design, conduct, and analysis of field trials in low and middle income countries and is based on their accumulated knowledge and experience. Available as an open access book via Oxford Medicine Online, this new edition is a comprehensive revision, incorporating the new developments that have taken place in recent years with respect to trials, including seven new chapters on subjects ranging from trial governance, and preliminary studies to pilot testing.

Communities in Action

Author: National Academies of Sciences, Engineering, and Medicine

Publisher: National Academies Press

Published: 2017-04-27

Total Pages: 583

ISBN-13: 0309452961

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In the United States, some populations suffer from far greater disparities in health than others. Those disparities are caused not only by fundamental differences in health status across segments of the population, but also because of inequities in factors that impact health status, so-called determinants of health. Only part of an individual's health status depends on his or her behavior and choice; community-wide problems like poverty, unemployment, poor education, inadequate housing, poor public transportation, interpersonal violence, and decaying neighborhoods also contribute to health inequities, as well as the historic and ongoing interplay of structures, policies, and norms that shape lives. When these factors are not optimal in a community, it does not mean they are intractable: such inequities can be mitigated by social policies that can shape health in powerful ways. Communities in Action: Pathways to Health Equity seeks to delineate the causes of and the solutions to health inequities in the United States. This report focuses on what communities can do to promote health equity, what actions are needed by the many and varied stakeholders that are part of communities or support them, as well as the root causes and structural barriers that need to be overcome.

Designing Interventions to Promote Community Health: A Multilevel, Stepwise Approach

Author: Leslie Ann Lytle

Publisher: American Psychological Association (APA)

Published: 2022-03-08

Total Pages: 241

ISBN-13: 9781433836503

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This book articulates a clear four-phase framework for planning, creating, implementing, and evaluating multilevel community health promotion interventions that target individual, physical, and social environments. It breaks down each of the four phases into detailed yet easy-to-follow steps that review important procedures, like identifying a behaviorally based problem within a community, identifying the underlying behavioral determinants to be targeted by the intervention, selecting intervention techniques that target those determinants, and evaluating outcomes to modify the intervention as needed. Guidelines for engaging community members in the design process, building teams, developing a manual of procedures, conducting pilot studies, and other important intervention components are also reviewed. Also reviewed are instructions for applying this framework to the adaption of existing interventions to new contexts. Feature boxes highlight key information and practical takeaways for students and interventionists. Detailed case examples that highlight various health promotion efforts bring the four-phase framework to life, including a recurring example about reducing consumption of sugar-sweetened beverages in middle-school students that follows the process from beginning to end.

Disease Control Priorities, Third Edition (Volume 2)

Author: Robert Black

Publisher: World Bank Publications

Published: 2016-04-11

Total Pages: 419

ISBN-13: 1464803684

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The evaluation of reproductive, maternal, newborn, and child health (RMNCH) by the Disease Control Priorities, Third Edition (DCP3) focuses on maternal conditions, childhood illness, and malnutrition. Specifically, the chapters address acute illness and undernutrition in children, principally under age 5. It also covers maternal mortality, morbidity, stillbirth, and influences to pregnancy and pre-pregnancy. Volume 3 focuses on developments since the publication of DCP2 and will also include the transition to older childhood, in particular, the overlap and commonality with the child development volume. The DCP3 evaluation of these conditions produced three key findings: 1. There is significant difficulty in measuring the burden of key conditions such as unintended pregnancy, unsafe abortion, nonsexually transmitted infections, infertility, and violence against women. 2. Investments in the continuum of care can have significant returns for improved and equitable access, health, poverty, and health systems. 3. There is a large difference in how RMNCH conditions affect different income groups; investments in RMNCH can lessen the disparity in terms of both health and financial risk.

Community-based Participatory Research

Author: United States. Agency for Healthcare Research and Quality

Publisher:

Published: 2004

Total Pages: 8

ISBN-13:

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Priorities in Health

Author:

Publisher: World Bank Publications

Published: 2006-01-01

Total Pages: 242

ISBN-13: 0821362615

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"This companion guide to Disease Control Priorities in Developing Countries, 2nd edition speeds the diffusion of life-saving knowledge by distilling the contents of the larger volume into an easily read format. Policy makers, practitioners, academics, and other interested readers will get an overview of the messages and analysis in Disease Control Priorities in Developing Countries, 2nd edition; be alerted to the scope of major diseases; learn strategies to improve policies and choices to implement cost-effective interventions; and locate chapters of immediate interest."