Evaluation of Health Care-Community Engagement

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Presentation transcript:

Evaluation of Health Care-Community Engagement Efforts to Address Obesity: A Sample Logic Model inputs Strategies & activities Short-term outcomes intermediate outcomes Long-term outcomes 1–3 years 3–5 years 5+ years healthcare Implementation activities or interventions individual/family individual/family Pediatric primary care centers, providers, and staff Pediatric weight management programs in communities or clinics EHR & Health IT systems Leadership and community benefit offices Access to unhealthy options Access to healthy options Access to care Participation in prevention programs Improved linkage with health care system/providers Engagement & communication across sectors Awareness & understanding of healthy behaviors Opportunities for shared meals and physical activity Physical activity Families making healthier routine choices Healthy eating — fruit/veggie consumption Improved overall diet Improved family cohesion Self-management of healthier choices and related comorbidities Improved biometric & health measures (e.g., behavior change, diabetes, and asthma comorbidities) Parental/care-giver wellness & work productivity Quality of life Obesity prevalence Health care costs (direct obesity, comorbidity costs; emergency room visits) Individual body mass index (BMI) Morbidity & mortality Settings: Schools Early care and education Community-based organizations Health care Target populations: Child/adolescent & family Parent/caregiver Communities Provider Mobilize, advocate & engage across sectors Develop & advance partnerships Communities/ organizations Provider/health care system Weight management programs and other resources Faith-based groups Food policy councils Safe Routes to School Nonprofit organizations Provider/health care system Child/adolescent & family engagement Delivery of quality care Provider knowledge & skills Provision & availability of prevention programs policy Community/built environment Community/built environment Identify & promote adoption of key policies that support or complement activities and interventions Collaborate w/stakeholders & change agents to implement policies Community awareness & knowledge Self-efficacy among community members Provision & availability of prevention programs Collaboration between community and health care settings Policy and environmental supports State and other partners Medicaid and Medicare offices Education offices, including early care and education Parks and Recreation Women, Infants, and Children Program Supplemental Nutrition Assistance Program policy Knowledge of policies supporting healthier choices among change agents Adoption of policies Contextual factors Integration and collaboration across sectors (i.e., degree to which different community groups have worked together and with health care organizations and the degree to which state partners have collaborated) Primary care and weight management program environments (i.e., affiliations, organizational structures, payment structures, community investment–oriented leadership, and missions) Community resources (e.g., availability of social services, linkages between health care and public health programs) This logic model presents activities and outcomes of community engagement interventions designed to address childhood obesity. This can be modified based on the specific goals of an intervention