Publications (4)9.98 Total impact
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Article: The Kaiser Permanente Community Health Initiative: overview and evaluation design.
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ABSTRACT: We provide an overview of the Kaiser Permanente Community Health Initiative--created in 2003 to promote obesity-prevention policy and environmental change in communities served by Kaiser Permanente-and describe the design for evaluating the initiative. The Initiative focuses on 3 ethnically diverse northern California communities that range in size from 37,000 to 52,000 residents. The evaluation assesses impact by measuring intermediate outcomes and conducting pre- and posttracking of population-level measures of physical activity, nutrition, and overweight.American Journal of Public Health 11/2010; 100(11):2111-3. · 3.93 Impact Factor -
Article: Approaches to measuring the extent and impact of environmental change in three California community-level obesity prevention initiatives.
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ABSTRACT: Despite growing support among public health researchers and practitioners for environmental approaches to obesity prevention, there is a lack of empirical evidence from intervention studies showing a favorable impact of either increased healthy food availability on healthy eating or changes in the built environment on physical activity. It is therefore critical that we carefully evaluate initiatives targeting the community environment to expand the evidence base for environmental interventions. We describe the approaches used to measure the extent and impact of environmental change in 3 community-level obesity-prevention initiatives in California. We focus on measuring changes in the community environment and assessing the impact of those changes on residents most directly exposed to the interventions.American Journal of Public Health 11/2010; 100(11):2129-36. · 3.93 Impact Factor -
Article: The Kaiser Permanente community health initiative: overview and evaluation design
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ABSTRACT: We provide an overview of the Kaiser Permanente Community Health Initiative—created in 2003 to promote obesity-prevention pol-icy and environmental change in communities served by Kaiser Per-manente—and describe the design for evaluating the initiative. The Initiative focuses on 3 ethnically diverse northern California com-munities that range in size from 37 000 to 52 000 residents. The eval-uation assesses impact by measur-ing intermediate outcomes and conducting pre-and posttracking of population-level measures of physical activity, nutrition, and overweight. (Am J Public Health. The focus of public health practitioners on policy and environmental change in obesity-prevention efforts 1–6 has led to the development of comprehensive community initiatives designed to produce a sustained effort by a broad range of community stakeholders. 7,8 However, there are few credible studies demonstrating that comprehensive community initiatives are effec-tive in lowering obesity rates, 9, 10 and therefore, evaluation of these initiatives is critical. This article gives an overview and describes the evaluation design of one such initiative—Kaiser Permanente's Community Health Initiative (CHI), created in 2003 to promote obesity-pre-vention policy and environmental change in communities served by Kaiser Permanente. The core CHI principles encompass a place-based focus; an emphasis on interventions involving policy and environmental change; collaboratives with representatives of sectors such as health care, neighborhoods, schools, and work sites; community engagement and ownership; and systematic evaluation. 11 Kaiser Permanente is sponsoring initiatives containing these elements in 30 sites. In this article, we concentrate on 3 northern California communi-ties whose initiatives were implemented between 2005 and 2010.01/2010; 100:2111-2113300001. -
Article: A qualitative exploration of alternative strategies for building community health partnerships: collaboration- versus issue-oriented approaches.
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ABSTRACT: Broad-based community partnerships are seen as an effective way of addressing many community health issues, but the partnership approach has had relatively limited success in producing measurable improvements in long-term health outcomes. One potential reason, among many, for this lack of success is a mismatch between the goals of the partnership and its structure/membership. This article reports on an exploratory empirical analysis relating the structure of partnerships to the types of issues they address. A qualitative analysis of 34 "successful" community health partnerships, produced two relatively clear patterns relating partnership goals to structure/membership: (1) "collaboration-oriented" partnerships that included substantial resident involvement and focused on broader determinants of health with interventions aimed at producing immediate, concrete community improvements; and (2) "issue-oriented" partnerships that focused on a single, typically health-related issue with multilevel interventions that included a focus on higher-level systems and policy change. Issue-oriented partnerships tended to have larger organizations governing the partnership with resident input obtained in other ways. The implication of these results, if confirmed by further research, is that funders and organizers of community health partnerships may need to pay closer attention to the alignment between the membership/structure of a community partnership and its goals, particularly with respect to the involvement of community residents.Journal of Urban Health 01/2006; 82(4):638-52. · 2.13 Impact Factor
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Institutions
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2010
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University of Washington Seattle
- Department of Health Services
Seattle, WA, USA
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